Jacob James Herron

Physician Assistant · Muncy, PA

Individual Active NPI

NPI number 1902549819

Practice location

255 Route 220 Hwy
Muncy, PA 17756-7568
Phone
(570) 308-2572

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NPI record

NPI
1902549819
Entity type
Individual (Type 1)
Enumeration date
April 18, 2022
Last updated
March 24, 2024
Certified
March 24, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X MA063436 PA

About Jacob Herron

Jacob James Herron is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 255 Route 220 Hwy, Muncy, PA 17756-7568. The NPI number 1902549819 was assigned on April 18, 2022 and the record was last updated on March 24, 2024.

Jacob Herron lists a license in the registry: #MA063436 (PA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob James Herron?

The NPI number is 1902549819.

What is the phone number of Jacob Herron?

The phone number listed for the practice location is (570) 308-2572.

Where is Jacob Herron located?

255 Route 220 Hwy, Muncy, PA 17756-7568.

What is the taxonomy code for Jacob Herron?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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