Individual provider · Type 1 NPI

Erin Olivia Jack, PA-C

Surgical Physician Assistant · Bethel Park, PA

NPI number 1902565781 Active

Practice location

2000 Oxford Dr
Bethel Park, PA 15102-1827

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400XMA063004 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1902565781

Erin Olivia Jack, PA-C's National Provider Identifier is 1902565781, issued on Dec 9, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bethel Park, PA. The record was last updated on Dec 27, 2021.