Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON CHARLES XYNELLIS, PA-C
ActiveMedical Physician Assistant · PROVIDENCE, RI
Registration Details
- NPI Number
- 1952501942
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2007 (18.758502493174 yrs)
- Last Updated
- Nov 30, 2012
- License
-
PA00501 (RI)
Practice Information
- Address
-
1195 N MAIN STPROVIDENCE, RI, 029041824Browse RI providers · Browse ZIP 02904
- Phone
- 4013318555
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| PATRICIA A TRAFFORD | P.A.C. | 1518962034 |
| SANDRA M JAMIESON | PA | 1528065430 |
| JOSEPH J DIBERNARDO | PA-C | 1497721419 |
| RICHARD A. HERNANDEZ | PA-C | 1457328221 |
| PAMELA M BRISSETTE | PA-C | 1972570182 |
| IAN PAUL KROUSON | PA | 1790744381 |
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.