IndividualActive
Jon Baughman, PAC
NPI 1275629339 · Physician Assistant · Sutton, AK
Provider details
- NPI number
- 1275629339
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- PA20020040 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11495 Callison Street
Life House Community Health Center
Sutton, AK 99674-0000
Phone: (907) 631-7665
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4363
Page, AZ 86040-4363
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2016-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.