Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Eisaman, PA-C

Individual provider Physician Assistant · NPI 1356794432

Jack Eisaman, PA-C is a Physician Assistant in Stanwood, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

9631 269th St NW
Stanwood, WA 98292-8071
Phone: (360) 629-1600
Fax: (360) 629-1644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2930 Maple St, Everett, WA 98201-3832 — (425) 261-1500

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60686334 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA60686334 (WA)

Record details

NPI number1356794432
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2016
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing address1400 E Kincaid St, Attn: Credentialing, Mount Vernon, WA 98274-4127

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