Individual provider · Type 1 NPI

Jennifer M. Ericson, PA-C

Surgical Physician Assistant · Sacramento, CA

NPI number 1740874510 Active

Practice location

2725 Capitol Ave
Sacramento, CA 95816-6004

Call (916) 262-9404 Map

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Other practice locations

  • 50 N Medical Dr, Salt Lake City, UT 84132-0001 · (801) 581-2121

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400X12118129-1206 (UT)
Surgical Physician Assistant Primary 363AS0400XPA64509 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1740874510

Jennifer M. Ericson, PA-C's National Provider Identifier is 1740874510, issued on Feb 23, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sacramento, CA. The record was last updated on Mar 7, 2025.