NPI 1043718398

David Andrew Porter, PA

Practitioner Physician Assistant Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-1000
Mailing address: 577 Old Highway 84 Rd, Waynesboro, MS 39367-8161

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 00365 (MS)

Other Physician Assistant providers in Mississippi →

Registry record

NPI: 1043718398
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2018
Record last updated: 23 Dec 2019

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.