Individual provider · Type 1 NPI

Michael Kristopher Jefferson, PA-C

Physician Assistant · South Portland, ME

NPI number 1972119600 Active

Practice location

230 Waterman Dr
South Portland, ME 04106-3635

Call (207) 358-3188 Map

Fax (207) 358-3135

Mailing address

80 Bridge St
Yarmouth, ME 04096-6749

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X027584 (NY)
Physician Assistant 363A00000XPA2861 (ME)
Physician Assistant Primary 363A00000XPA8749 (MA)

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 1972119600

Michael Kristopher Jefferson, PA-C's National Provider Identifier is 1972119600, issued on Sep 18, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Portland, ME. The record was last updated on Oct 20, 2026.