# MRS. JACQUELINE MCSALLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417415084
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0010-08914 | NC | — |
| 363A00000X | Physician Assistant | 7737-023 | WI | — |
| 363AS0400X | Surgical Physician Assistant | 6876 | CT | Yes |

## Other

- **Enumeration date:** 03/03/2019
- **Last updated:** 10/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100274093 | — | WI |
| 01 | — | 110-622-459 | AMERICAN ACADEMY OF PAS (AAPA) | — |
| 01 | — | 1159850 | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS (NCCPA) | — |