Jacob Paul Donovan, PA-C Valid NPI

Individual provider · Physician Assistant · Derry, NH

NPI

1467904078

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

1220 (NH)

Sex

Male

Sole proprietor

No

Enumerated

2016-10-30

Last updated

2023-11-13