Individual provider · Type 1 NPI

Jack Richard

Physician Assistant · Providence, RI

NPI number 1730926940 Active

Practice location

33 Staniford St
Providence, RI 02905-3105

Call (401) 421-8800 Map

Fax (401) 421-2492

Mailing address

36 Whetstone St
West Newbury, MA 01985-1432

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA01719 (RI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1730926940

Jack Richard's National Provider Identifier is 1730926940, issued on Jul 15, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Providence, RI. The record was last updated on Oct 28, 2024.