Committees  

NJSSPA Personal Information Update

logo

  

  

 

New Jersey Physician Assistants:

Your support is critical if we are going to continue to make the changes needed for NJ to become a PA-friendly state. Please consider joining us as soon as possible! In many cases, employers are willing to pay your dues or they may be written off as a business expense. For more information on the benefits of membership,

CLICK HERE

Occasionally NJSSPA receives information that we feel is important enough to distribute to all NJ physician assistants. If you are a NJ licensed PA unable to join NJSSPA at this time but you would like to receive these updates, please fill out the form below and click "Submit."

 Personal Information Update

Please use this form to update your home or work address (indicate below)

Name:    

License Number:

Email:    

Street 1: 

Street 2: 

City:       

State:           County:

ZIP:        

Phone:    

Is this address your:

Specialty:   

Secondary Specialty:   

PA School:     

You may also email any changes in your contact information to us at njsspa@njha.com

Back To Top | Home

©2005 New Jersey State Society of Physician Assistants