Individual provider · Type 1 NPI

Jared Allen Pendergrass, PA-C

Physician Assistant · Aurora, MO

NPI number 1780282863 Active

Practice location

500 Porter Ave
Aurora, MO 65605-2365

Call (417) 678-7888 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2020009814 (MO)

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 1780282863

Jared Allen Pendergrass, PA-C's National Provider Identifier is 1780282863, issued on Oct 12, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Aurora, MO. The record was last updated on Oct 27, 2020.