Jacqueline Indrisek, PA is a medical physician assistant in Port Charlotte, FL. Jacqueline Indrisek, PA NPI is 1427442011. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
22655 BAYSHORE RD STE 130
PORT CHARLOTTE, FL
ZIP 33980-005
Phone: (941) 255-3722
Fax: (941) 255-3723
The NPI 1427442011 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 3/23/2015 and was last updated on 2/9/2022.