Active NPIIndividual provider

Mrs. Jessica L Runquist, PA-C

Physician Assistant in Swansea, Massachusetts

NPI Number1124557376
Practice location
1675 Gar Hwy, Swansea, MA 02777-3901
Fax
508-490-5960
Last updated
December 13, 2019

Jessica Lynn Runquist is a Physician Assistant based in Swansea, MA. Jessica Lynn Runquist practices in Swansea, MA and has the professional credentials of PA-C. The NPI Number for Jessica Lynn Runquist is 1124557376 and holds a License No. PA6233 (MA). The current practice location address for Jessica Lynn Runquist is 1675 Gar Hwy, Swansea, MA 02777-3901 and can be reached out via phone at 508-490-5959 and via fax at 508-490-5960.

Provider Profile Details

NPI Number
1124557376
Provider Name
Jessica Lynn Runquist
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1675 Gar Hwy, Swansea, MA 02777-3901
Phone Number
508-490-5959
Fax Number
508-490-5960
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Ms. Jessica Lynn Fall, PA (Former Name)
Provider Enumeration Date
June 9, 2017
Last Update Date
December 13, 2019
Certification Date
December 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1675 Gar Hwy
Swansea, MA 02777-3901
Zip
02777-3901
Phone Number
508-490-5959
Fax Number
508-490-5960
Swansea, MA 02777Get directions →

Provider Business Mailing Address Details

Address
1675 Gar Hwy
Swansea, MA 02777-3901
City
Swansea
State
MA
Zip
02777-3901
Phone Number
508-490-5959
Fax Number
508-490-5960

License Information

License Number (1)
PA6233
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
PA01115
License State (2)
RI
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jessica L Runquist, PA-C?

The NPI number of Mrs. Jessica L Runquist, PA-C is 1124557376. It was assigned on June 9, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jessica L Runquist, PA-C?

Mrs. Jessica L Runquist, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA6233.

Where does Mrs. Jessica L Runquist, PA-C practice?

The practice location is 1675 Gar Hwy, Swansea, MA 02777-3901. The office can be reached at 508-490-5959 (phone) or 508-490-5960 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124557376 directly on the NPPES registry website.

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