Provider Demographics
NPI:1326521634
Name:JIRAS, MEGAN DIANE (PA-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:DIANE
Last Name:JIRAS
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:833 CHESTNUT ST STE 520
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4430
Mailing Address - Country:US
Mailing Address - Phone:800-321-9999
Mailing Address - Fax:267-339-3763
Practice Address - Street 1:510 TOWNSHIP LINE RD STE 110
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2721
Practice Address - Country:US
Practice Address - Phone:800-321-9999
Practice Address - Fax:267-479-1321
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2025-06-27
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00493200363A00000X, 363A00000X
PAMA061483363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant