NPI 1013856608

Jake Pristupa

Practitioner Physician Assistant Bangor, ME

Practice location

Address: 55 Broadway STE 2, Bangor, ME 04401-5201
Phone: (207) 947-0496
Mailing address: 515 S Center St APT 4, Grove City, PA 16127-1305

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Maine →

Registry record

NPI: 1013856608
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2026
Record last updated: 27 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.