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

Mr. Jaison Ninan, PA-C

Individual provider Physician Assistant · NPI 1689244675

Mr. Jaison Ninan, PA-C is a Physician Assistant in Decatur, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
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

800 Medical Center Dr Ste C
Decatur, TX 76234-3844
Phone: (940) 626-2110
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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 PA14759 (TX)

Record details

NPI number1689244675
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESSeptember 3, 2021
Certification dateSeptember 3, 2021

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