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

Mrs. Jessica Lynn Runquist, PA-C

Individual provider Physician Assistant · NPI 1124557376

Mrs. Jessica Lynn Runquist, PA-C is a Physician Assistant in Swansea, Massachusetts. Qualified in 2017, 9 years ago. Practices with Modern Dermatology of Massachusetts, PLLC, a 2-clinician group and works from 2 locations. Licensed in Massachusetts and Rhode Island.

Years since qualifying
9
Licensed in
MA, RI
In the registry since
2017
Specialties on file
2
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

1675 Gar Hwy
Swansea, MA 02777-3901
Phone: (508) 490-5959
Fax: (508) 490-5960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1287 N Main St, Providence, RI 02904-1856 — (401) 272-2724

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6233 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA01115 (RI)

Record details

NPI number1124557376
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 9, 2017
Last updated in NPPESDecember 13, 2019
Certification dateDecember 13, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Modern Dermatology Of Massachusetts, Pllc — 2 clinicians
Accepts Medicare assignment Not indicated

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