Individual provider · Type 1 NPI

Nidha Jivan, PA

Physician Assistant · Snellville, GA

NPI number 1902580772 Active

Practice location

1800 Tree Ln Ste 250
Snellville, GA 30078-6799

Mailing address

410 Meijer Dr
Florence, KY 41042-5128

Other practice locations

  • 410 Meijer Dr, Florence, KY 41042-5128 · (661) 304-5415

Specialties and licenses

TaxonomyCodeLicense
Interventional Cardiology Physician 207RI0011X11663 (GA)
Physician Assistant Primary 363A00000X11663 (GA)

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 1902580772

Nidha Jivan, PA's National Provider Identifier is 1902580772, issued on Jun 12, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Snellville, GA. The record was last updated on Sep 22, 2023.