JESSICA NICOLE SOUTHER NPI 1669306791

NPI Information

  • NPI: 1669306791
  • Provider Name: JESSICA NICOLE SOUTHER
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 21 REVERE BEACH BLVD APT 505
    REVERE, MA
    ZIP 02151
  • Phone: (484) 798-8841

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NPI Details

Jessica Nicole Souther is a physician assistant in Revere, MA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Jessica Nicole Souther NPI is 1669306791. 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:

21 REVERE BEACH BLVD APT 505
REVERE, MA
ZIP 02151-771
Phone: (484) 798-8841

The enumeration date for this NPI number is 6/12/2026 and was last updated on 6/12/2026.

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
1363A00000XPhysician AssistantMASSACHUSETTSYes

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: 11/21/2025

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