Jessica Butler in Hollywood - Physician Assistant
Jessica Butler - NPI 1821074642
Jessica Butler is a Physician Assistant in Hollywood, Florida. Jessica Butler practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica Butler is 1821074642. The last update date is 2008-10-21.
Jessica Butler's current location address is 3501 Johnson St, Hollywood, Florida. You can contact this provider via phone number 9549872020. The mailing address for Jessica Butler is 3501 Johnson St, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Butler |
|---|---|
| Address | 3501 Johnson St, Hollywood, Florida |
| Phone Number | 9549872020 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1821074642 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2008-10-21 |
Provider Mailing Address Detail
| Address | 3501 Johnson St |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330215421 |
| Phone Number | 9549872020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9103244 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 292118900 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jessica Butler by the Centers for Medicare & Medicaid Services?
The Jessica Butler has been issued the NPI (National Provider Identifier) 1821074642 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jessica Butler's facilities are situated?
The facilities of Jessica Butler are physically located at the following address: 3501 Johnson St, Hollywood, FL, 330215421.
What is the Jessica Butler's area of specialization and corresponding taxonomy classification?
The Jessica Butler'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 Centers for Medicare & Medicaid Services assign the 1821074642 to Jessica Butler?
The Centers for Medicare & Medicaid Services assigned the 1821074642 to Jessica Butler on 2005-12-22.
When was the information pertaining to Jessica Butler most recently updated or revised?
The details related to Jessica Butler, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-21.