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

Justin Mandeville, PA-C

Individual provider Physician Assistant · NPI 1073019550

Justin Mandeville, PA-C is a Physician Assistant in Yelm, Washington. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

9391 Prarrie Wind St
Yelm, WA 98597
Phone: (517) 667-8729
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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 number1073019550
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2018
Last updated in NPPESJuly 25, 2023
Certification dateJuly 24, 2023

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