Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON THEODORE
Active Sole ProprietorJASON THEODORE is a Physician Assistant healthcare provider located in LINCOLN, Nebraska. NPI 1629535521 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LINCOLN, NE
Registration Details
- NPI Number
- 1629535521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2019 (7.4828485004306 yrs)
- Last Updated
- Sep 9, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
4615 MEREDETH ST APT 6LINCOLN, NE, 685064973Browse NE providers · Browse ZIP 68506
- Phone
- 3474491387
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LINCOLN, NE
| Name | Credential | NPI |
|---|---|---|
| WANDA L WYNN | PA | 1093719650 |
| JACKLYNN A KMENT | PA-C | 1003813767 |
| KELLI CHRISTINE OSSENKOP | PAC | 1275528200 |
| LISA M JOHNSON | PA-C | 1619963709 |
| MRS. CATHERINE M BATEMAN | PA | 1003899949 |
| MICHELLE TYSER | PA | 1083698518 |
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.