Mr. Jacob P Donovan, PA-C
Physician Assistant in Derry, New Hampshire
1467904078- Practice location
- 6 Tsienneto RD Ste 100, Derry, NH 03038
- Phone
- 603-537-1300
- Fax
- —
- Last updated
- November 13, 2023
Jacob Paul Donovan is a Physician Assistant based in Derry, NH. Jacob Paul Donovan practices in Derry, NH and has the professional credentials of PA-C. The NPI Number for Jacob Paul Donovan is 1467904078 and holds a License No. 1220 (NH). The current practice location address for Jacob Paul Donovan is 6 Tsienneto RD Ste 100, Derry, NH 03038 and can be reached out via phone at 603-537-1300.
Provider Profile Details
- NPI Number
- 1467904078
- Provider Name
- Jacob Paul Donovan
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6 Tsienneto RD Ste 100, Derry, NH 03038
- Phone Number
- 603-537-1300
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 30, 2016
- Last Update Date
- November 13, 2023
- Certification Date
- November 13, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Tsienneto RD Ste 100
Derry, NH 03038 - City
- Derry
- State
- New Hampshire
- Zip
- 03038
- Phone Number
- 603-537-1300
Provider Business Mailing Address Details
- Address
- 6 Buttrick RD Ste 102
Londonderry, NH 03053-3417 - City
- Londonderry
- State
- NH
- Zip
- 03053-3417
- Phone Number
- 603-537-1300
License Information
- License Number
- 1220
- License State
- NH
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Jacob P Donovan, PA-C?
The NPI number of Mr. Jacob P Donovan, PA-C is 1467904078. It was assigned on October 30, 2016 and is currently active in the NPPES registry.
What is the specialty of Mr. Jacob P Donovan, PA-C?
Mr. Jacob P Donovan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NH under license number 1220.
Where does Mr. Jacob P Donovan, PA-C practice?
The practice location is 6 Tsienneto RD Ste 100, Derry, NH 03038. The office can be reached at 603-537-1300 (phone).
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 1467904078 directly on the NPPES registry website.