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

Jody Mack, PA

Individual provider Physician Assistant · NPI 1760663140

Jody Mack, PA is a Physician Assistant in Montrose, Colorado. Works from 3 locations. Licensed in Colorado and Montana.

Licensed in
CO, MT
In the registry since
2007
Specialties on file
2
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

947 S 5th St
Montrose, CO 81401-5716
Phone: (970) 249-2421
Fax: (970) 249-1203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 242 Cottonwood St Ste 101, Delta, CO 81416-4404 — (970) 874-7552
  • 906 S 4th St, Montrose, CO 81401-4226 — (970) 249-2421

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MED-PAC-LIC-61430 (MT)
Physician Assistant Taxonomy 363A00000X · Licence 2457 (CO)

Record details

NPI number1760663140
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 14, 2007
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022
Mailing address947 S 5th St, Montrose, CO 81401-5716

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