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

Jakobe Taylor Fitzgerald, PA-C

Individual provider Physician Assistant · NPI 1104743806

Jakobe Taylor Fitzgerald, PA-C is a Physician Assistant in Boston, Massachusetts. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

179 Longwood Ave
Boston, MA 02115-5804
Phone: (617) 732-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1104743806
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2026
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

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