Individual provider · Type 1 NPI

Jourdan Mackenzie Muro, PA-C

Physician Assistant · San Luis Obispo, CA

NPI number 1750151601 Active

Practice location

4460 Broad St Ste 110
San Luis Obispo, CA 93401-8065

Call (805) 597-6715 Map

Fax (805) 541-4973

Other practice locations

2 James Way Ste 106, Pismo Beach, CA 93449-4974 · (805) 473-7665
2 James Way Ste 209, Pismo Beach, CA 93449-4976 · (805) 549-6915

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	PA67197 (CA)

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…

3 other providers at this address

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About NPI 1750151601

Jourdan Mackenzie Muro, PA-C's National Provider Identifier is 1750151601, issued on Jan 2, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Feb 11, 2026.