Jared M Bethel Valid NPI

Individual provider · Physician Assistant · Norfolk, VA

NPI

1295529683

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

0110011024 (VA)

Sex

Male

Sole proprietor

Yes

Enumerated

2025-04-08

Last updated

2025-12-09