Individual provider · Type 1 NPI

Jessica Jane Daniel, PA-C

Surgical Physician Assistant · San Rafael, CA

NPI number 1790278190 Active

Practice location

4000 Civic Center Dr Ste 209
San Rafael, CA 94903-5233

Other practice locations

  • 5050 NE Hoyt St Ste 454, Portland, OR 97213-2984 · (503) 215-6405
  • 2730 SW Moody Ave # CL5PA, Portland, OR 97201-5042 · (503) 494-9645

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA195774 (OR)
Surgical Physician Assistant Primary 363AS0400XPA60598 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1790278190

Jessica Jane Daniel, PA-C's National Provider Identifier is 1790278190, issued on Jun 11, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Rafael, CA. The record was last updated on Oct 3, 2023.