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

Marissa Lee Proverbs, PA-C

Individual provider Physician Assistant · NPI 1043037849

Marissa Lee Proverbs, PA-C is a Physician Assistant in Jackson, California. Registered with an NPI since 2024.

In the registry since
2024
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

200 Mission Blvd
Jackson, CA 95642-2564
Phone: (209) 223-7500
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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 number1043037849
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address16399 Mozart Ave, Los Gatos, CA 95032-1906

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