1. Home
  2. Directory
  3. Massachusetts
  4. Revere
  5. Physician Assistant
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSICA NICOLE SOUTHER
NPI 1669306791
Physician Assistant in Revere, MA

Active since June 12, 2026
21 REVERE BEACH BLVD APT 505, REVERE, MA 02151(484) 798-8841 Get Directions Write a Review

NPPES record added: June 12, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jessica Nicole Souther NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA NICOLE SOUTHER (NPI 1669306791) is an individual physician assistant in Revere, Massachusetts and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1669306791
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA NICOLE SOUTHER
Location Address21 REVERE BEACH BLVD APT 505Revere, MA 02151-3771
Mailing Address21 Revere Beach Blvd Apt 505Revere, MA 02151-3771
Phone(484) 798-8841
Sole ProprietorNo
Enumeration DateJune 12, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1669306791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21 REVERE BEACH BLVD APT 505, Revere, MA 02151
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Souther's NPI number?

The NPI number for Jessica Souther is 1669306791. It was assigned to this individual provider in the NPPES registry on June 12, 2026.

Where is Jessica Souther located?

Jessica Souther practices at 21 Revere Beach Blvd Apt 505, Revere, MA 02151. The listed phone number is (484) 798-8841.

What is Jessica Souther's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jessica Souther was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.