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

Individual provider Physician Assistant · NPI 1821726803

Jordan Jutras, PA-C is a Physician Assistant in Pawtucket, Rhode Island. Qualified in 2022, 4 years ago. Practices with University Internal Medicine, Inc, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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

407 E Ave Ste 120
Pawtucket, RI 02860-5299
Phone: (401) 725-4700
Fax: (401) 725-4740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1821726803
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2022
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Internal Medicine,Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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