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

Jennifer Emily Mustard, PA

Individual provider Physician Assistant · NPI 1063960268

Jennifer Emily Mustard, PA is a Physician Assistant in Oakland, California. Licensed in California and Oregon. Registered with an NPI since 2016.

Licensed in
CA, OR
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

744 52nd St Ste 4100
Oakland, CA 94609-1810
Phone: (510) 428-3022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60336 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA188794 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA188794 (OR)

Record details

NPI number1063960268
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 15, 2016
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

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