NPI 1184518854

Jason Trevor Queen, PAC

Practitioner Student in an Organized Health Care Education/Training Program Lafayette, IN

Practice location

Address: 5165 McCarty Ln, Lafayette, IN 47905-8764
Phone: (765) 448-8000
Mailing address: 3848 Constitution Dr, Carmel, IN 46032-9350

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10004870A (IN)

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Registry record

NPI: 1184518854
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2025
Record last updated: 28 Nov 2025

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.