Jessica N Souther
Physician Assistant in Revere, Massachusetts
1669306791- Practice location
- 21 Revere Beach Blvd Apt 505, Revere, MA 02151-3771
- Phone
- 484-798-8841
- Fax
- —
- Last updated
- June 12, 2026
Jessica Nicole Souther is a Physician Assistant based in Revere, MA. Jessica Nicole Souther practices in Revere, MA. The NPI Number for Jessica Nicole Souther is 1669306791. The current practice location address for Jessica Nicole Souther is 21 Revere Beach Blvd Apt 505, Revere, MA 02151-3771 and can be reached out via phone at 484-798-8841.
Provider Profile Details
- NPI Number
- 1669306791
- Provider Name
- Jessica Nicole Souther
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 21 Revere Beach Blvd Apt 505, Revere, MA 02151-3771
- Phone Number
- 484-798-8841
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2026
- Last Update Date
- June 12, 2026
- Certification Date
- June 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Revere Beach Blvd Apt 505
Revere, MA 02151-3771 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3771
- Phone Number
- 484-798-8841
Provider Business Mailing Address Details
- Address
- 21 Revere Beach Blvd Apt 505
Revere, MA 02151-3771 - City
- Revere
- State
- MA
- Zip
- 02151-3771
License Information
- License State
- MA
- 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 Jessica N Souther?
The NPI number of Jessica N Souther is 1669306791. It was assigned on June 12, 2026 and is currently active in the NPPES registry.
What is the specialty of Jessica N Souther?
Jessica N Souther is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Jessica N Souther practice?
The practice location is 21 Revere Beach Blvd Apt 505, Revere, MA 02151-3771. The office can be reached at 484-798-8841 (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 1669306791 directly on the NPPES registry website.