National Provider Identifier Database

JARED WATERS
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

JARED WATERS
5673 AIRPORT RD
ROANOKE, VA24012-1119
Phone: 540-523-8080
Fax:
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for JARED WATERS

NPI Number 1023701927
Credentials
Entity Individual
Enumeration date 05/29/2023
Last updated 08/17/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • VA License #: 0110009479
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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