Provider Demographics
NPI:1114466679
Name:DOERING, JARROD PAUL (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JARROD
Middle Name:PAUL
Last Name:DOERING
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:737 W CHILDS AVE
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-6805
Mailing Address - Country:US
Mailing Address - Phone:866-682-4842
Mailing Address - Fax:209-359-2045
Practice Address - Street 1:1200 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-5107
Practice Address - Country:US
Practice Address - Phone:866-682-4842
Practice Address - Fax:209-668-5378
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA54210363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant