Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE A STAFFORD, P.A.-C
ActiveMedical Physician Assistant · DECATUR, AR
Registration Details
- NPI Number
- 1316338361
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2015 (11.188639120703 yrs)
- Last Updated
- Feb 12, 2015
- License
-
PA-598 (AR)
Practice Information
- Address
-
346 N MAIN STDECATUR, AR, 727229732Browse AR providers · Browse ZIP 72722
- Phone
- 4797523233
- Fax
- 4797523235
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.