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Nicole M. Jack, PA-C
Physician Assistant in Pontiac, Illinois
NPI 1083104137

Nicole M. Jack is a Physician Assistant based in Pontiac, IL. Nicole M. Jack practices in Pontiac, IL and has the professional credentials of PA-C. The NPI Number for Nicole M. Jack is 1083104137 and holds a License No. 085006579 (Illinois).

The current practice location address for Nicole M. Jack is 2500 W Reynolds St, Pontiac, IL and can be reached out via phone at 815-844-5343 and via fax at 815-844-5715.

Location: 2500 W Reynolds St, Pontiac, IL, 61764-9774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083104137
Provider Name
Nicole M. Jack
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2500 W Reynolds St, Pontiac, IL, 61764-9774
Phone Number
815-844-5343
Fax Number
815-844-5715
Provider Enumeration Date
05/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 W Reynolds St
City
Pontiac
State
Illinois
Zip
61764
Phone Number
815-844-5343
Fax Number
815-844-5715
person
Provider Business Mailing Address Details
Address
2500 W Reynolds St
City
Pontiac
State
Illinois
Zip
61764
Phone Number
815-844-5343
Fax Number
815-844-5715
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085006579 (Illinois)
Definition
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.
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