Provider Demographics
NPI:1497207591
Name:CASTRO, JARED (PA-C)
Entity type:Individual
Prefix:MR
First Name:JARED
Middle Name:
Last Name:CASTRO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:US FLEET FORCES COMMAND, HEALTH SVCS
Mailing Address - Street 2:1562 MITSCHER AVE, STE 250
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23551-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:US FLEET FORCES COMMAND, HEALTH SVCS
Practice Address - Street 2:1562 MITSCHER AVE, STE 250
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23551-0001
Practice Address - Country:US
Practice Address - Phone:210-426-0494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant