Individual provider · Type 1 NPI

Jesse Carroll, PA-C

Medical Physician Assistant · Allentown, PA

NPI number 1801346416 Active

Practice location

3178 W Tilghman St
Allentown, PA 18104-4222

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Other practice locations

  • 115 Woodbine Ln, Danville, PA 17821-9118 · (717) 479-2474

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XMA058607 (PA)
Medical Physician Assistant Primary 363AM0700XMA058607 (PA)

Medical Physician Assistant: Definition to come...

9 other providers at this address

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About NPI 1801346416

Jesse Carroll, PA-C's National Provider Identifier is 1801346416, issued on Oct 6, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Allentown, PA. The record was last updated on Feb 16, 2021.