Individual provider · Type 1 NPI

Jenna Mut

Physician Assistant · Providence, RI

NPI number 1891267779 Active

Practice location

593 Eddy Street, Claverick 2
Providence, RI 02903

Mailing address

125 Whipple St Ste 3
Providence, RI 02908-3258

Other practice locations

  • 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 · (253) 596-3300

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60923118 (WA)
Physician Assistant Primary 363A00000XPA01677 (RI)

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 1891267779

Jenna Mut's National Provider Identifier is 1891267779, issued on Dec 17, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Providence, RI. The record was last updated on Jul 30, 2024.