Jerry A. Quisenberry in Hamlin - Physician Assistant

Jerry A. Quisenberry - NPI 1639111768

Jerry A. Quisenberry is a Physician Assistant in Hamlin, . Jerry A. Quisenberry practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jerry A. Quisenberry is 1639111768. The last update date is 2018-02-12.

Jerry A. Quisenberry's current location address is 7400 Lynn Ave, Hamlin, . You can contact this provider via phone number 3048245806 and fax number 3048245885. The mailing address for Jerry A. Quisenberry is 7400 Lynn Ave, Hamlin, . To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry A. Quisenberry
Address 7400 Lynn Ave, Hamlin,
Phone Number 3048245806
Fax Number 3048245885
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1639111768
Provider Enumeration Date 2006-06-12
Last Updated Date 2018-02-12

Provider Mailing Address Detail

Address 7400 Lynn Ave
City Hamlin
State (WV)
Post Code 255231138
Phone Number 3048245806
Fax Number 3048245885

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 867
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 perfor

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FAQs about Jerry A. Quisenberry

What is the unique identification code assigned to Jerry A. Quisenberry by the Centers for Medicare & Medicaid Services?

The Jerry A. Quisenberry has been issued the NPI (National Provider Identifier) 1639111768. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jerry A. Quisenberry is located?

The Jerry A. Quisenberry is situated at the following address: 7400 Lynn Ave, Hamlin, WV, 255231138.

What is the Jerry A. Quisenberry's area of specialization and corresponding taxonomy classification?

The Jerry A. Quisenberry's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date did the Jerry A. Quisenberry receive the assignment of its 1639111768 from the Centers for Medicare & Medicaid Services?

The Jerry A. Quisenberry was issued its 1639111768 by the Centers for Medicare & Medicaid Services on 2006-06-12.

When was the Jerry A. Quisenberry's information last updated?

The Jerry A. Quisenberry's information was last updated on 2018-02-12.

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