Individual provider · Type 1 NPI
Jody Lin Mrakovich, PA-C
Medical Physician Assistant · Middletown, PA
NPI number
1952368342
Active
Practice location
1100 Spring Garden Dr
Middletown, PA 17057-3257
Fax (717) 985-6909
Mailing address
1100 Spring Garden Dr Ste 3
Middletown, PA 17057-3257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | MA001689L (PA) |
| Medical Physician Assistant | 363AM0700X | OA000187L (PA) |
| Medical Physician Assistant Primary | 363AM0700X | MA001689L (PA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Middletown
About NPI 1952368342
Jody Lin Mrakovich, PA-C's National Provider Identifier is 1952368342, issued on Apr 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Middletown, PA. The record was last updated on Sep 28, 2022.