Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODY MACK, PA
ActiveJODY MACK, PA is a Medical Physician Assistant healthcare provider located in MONTROSE, Colorado. NPI 1760663140 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MONTROSE, CO
Registration Details
- NPI Number
- 1760663140
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2007 (18.761045782533 yrs)
- Last Updated
- Mar 3, 2022
- Licenses
-
2457 (CO)MED-PAC-LIC-61430 (MT)
Practice Information
- Address
-
947 S 5TH STMONTROSE, CO, 814015716Browse CO providers · Browse ZIP 81401
- Phone
- 9702492421
- Fax
- 9702491203
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in MONTROSE, CO
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE MARIA TEALDI | PA | 1295791952 |
| ASPEN MARIAH ARMSTRONG | PA-C | 1447934161 |
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.