Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jacqueline Julty, PA-C

Individual provider Physician Assistant · NPI 1184759649

MS. Jacqueline Julty, PA-C is a Physician Assistant in Palo Alto, California. Works from 2 locations. Licensed in California and Wisconsin.

Licensed in
CA, WI
In the registry since
2007
Specialties on file
2
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

3801 Miranda Ave
Palo Alto, CA 94304-1207
Phone: (650) 498-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 North Oak Avenue, Marshfield, WI 54449-5703 — (715) 387-5511

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8397 (WI)
Physician Assistant Taxonomy 363A00000X · Licence PA 11877 (CA)

Record details

NPI number1184759649
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESJuly 2, 2025
Certification dateJune 16, 2025

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