IndividualActive
Jason Xynellis, PA-C
NPI 1952501942 · Medical Physician Assistant · Providence, RI
Provider details
- NPI number
- 1952501942
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA00501 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1195 N Main St
Providence, RI 02904-1824
Phone: (401) 331-8555
Approximate (ZIP-level) locationGet directions
Mailing address
1195 N Main St
Providence, RI 02904-1824
Registry dates
- Enumerated
- 2007-07-19
- Last updated
- 2012-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.