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JESSE A STAFFORD P.A.-C NPI 1316338361

NPI Profile

NPI: 1316338361
Provider Name: JESSE A STAFFORD, P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: WASHINGTON REGIONAL MEDICAL SYSTEM

PECOS Registration: Yes

Address:
346 N MAIN ST
DECATUR, AR
ZIP 72722
Get Directions

Phone: (479) 752-3233

Jesse A Stafford, P.A.-C is a medical physician assistant in Decatur, AR with 6 years of experience. Jesse A Stafford, P.A.-C NPI is 1316338361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

346 N MAIN ST
DECATUR, AR
ZIP 72722-732
Phone: (479) 752-3233
Fax: (479) 752-3235

The NPI 1316338361 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/12/2015 and was last updated on 2/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA-598ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/28/2020

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.