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

Jesse L Scanlon, PA-C

Individual provider Physician Assistant · NPI 1124654603

Jesse L Scanlon, PA-C is a Physician Assistant in Dallas, Texas. Licensed in Florida and Texas. Registered with an NPI since 2020.

Licensed in
FL, TX
In the registry since
2020
Specialties on file
3
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

1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (844) 860-6976
Fax: (954) 985-1434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16316 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA9115080 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124654603
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 17, 2020
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

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