Registry record
- NPI
- 1104021013
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 604 S 3rd St
Mabank, TX 75147 - Phone
- 9038871073
- In the registry since
- June 19, 2007
- Last NPPES update
- October 26, 2010
- Sole proprietor
- No
- License
- PA 01037 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Jill Pridgen is 1104021013. They are a Physician Assistant in Mabank, Texas.
Jill Pridgen is one of 2 Physician Assistants in Mabank and one of 11,405 across Texas in our data.
The NPI has been in the federal registry for 19 years, since June 19, 2007.
Frequently asked questions
What is NPI 1104021013?
NPI 1104021013 is the 10-digit National Provider Identifier assigned to Jill Pridgen, a Physician Assistant practicing in Mabank, Texas. The record has been in the NPPES registry since June 19, 2007.
How do I verify this provider?
Cross-check NPI 1104021013 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA 01037 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as October 26, 2010. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.