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Jason Charles Xynellis, PA-C
Medical Physician Assistant in Providence, Rhode Island
NPI 1952501942

Jason Charles Xynellis is a Medical Physician Assistant based in Providence, RI and is specialized in Medical. Jason Charles Xynellis practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Jason Charles Xynellis is 1952501942 and holds a License No. PA00501 (Rhode Island).

The current practice location address for Jason Charles Xynellis is 1195 N Main St, Providence, RI and can be reached out via phone at 401-331-8555.

Location: 1195 N Main St, Providence, RI, 02904-1824
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Provider Profile Details
NPI Number
1952501942
Provider Name
Jason Charles Xynellis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1195 N Main St, Providence, RI, 02904-1824
Phone Number
401-331-8555
Fax Number
Provider Enumeration Date
07/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0021338 01 RI MEDICARE PTAN
JX84601 05 RI
institution
Provider Business Practice Location Address Details
Address
1195 N Main St
City
State
Zip
02904-1824
Phone Number
401-331-8555
Fax Number
person
Provider Business Mailing Address Details
Address
1195 N Main St
City
State
Zip
02904-1824
Phone Number
401-331-8555
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00501 (Rhode Island)
Definition
Definition to come...
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