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

Jonathan William Herschel Eubanks, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1790242527

Jonathan William Herschel Eubanks, PHYSICIANASSISTANT is a Physician Assistant in Minot, North Dakota. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

10 Missile Ave
Minot, ND 58705-5003
Phone: (701) 723-5633
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1790242527
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 28, 2019
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address10 Missile Ave, Minot, ND 58705-5003

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