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

Individual provider Physician Assistant · NPI 1467904078

Mr. Jacob Paul Donovan, PA-C is a Physician Assistant in Derry, New Hampshire. Qualified in 2015, 11 years ago. Practices with Derry Medical Center, PA, a 98-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
11
Licensed in
NH
In the registry since
2016
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

6 Tsienneto Rd Ste 100
Derry, NH 03038
Phone: (603) 537-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1220 (NH)

Record details

NPI number1467904078
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 30, 2016
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Derry Medical Center, Pa — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Derry