Individual provider · Type 1 NPI
Jaycob Daniel Edwards, PA
Medical Physician Assistant · Lincoln, NE
NPI number
1801375845
Active
Practice location
2211 S 38th St
Lincoln, NE 68506-6024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2264 (NE) |
Medical Physician Assistant: Definition to come...
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About NPI 1801375845
Jaycob Daniel Edwards, PA's National Provider Identifier is 1801375845, issued on Aug 10, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lincoln, NE. The record was last updated on Apr 15, 2022.