Jennifer Marie Mullis Grant in Macon - Physician Assistant
Jennifer Marie Mullis Grant - NPI 1144497736
Jennifer Marie Mullis Grant is a Physician Assistant in Macon, Georgia. Jennifer Marie Mullis Grant practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Marie Mullis Grant is 1144497736. The last update date is 2013-12-17.
Jennifer Marie Mullis Grant's current location address is 140 N Crest Blvd, Macon, Georgia. You can contact this provider via phone number 4787578335. The mailing address for Jennifer Marie Mullis Grant is 140 N Crest Blvd, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Marie Mullis Grant |
|---|---|
| Address | 140 N Crest Blvd, Macon, Georgia |
| Phone Number | 4787578335 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1144497736 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2013-12-17 |
Provider Mailing Address Detail
| Address | 140 N Crest Blvd |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312101845 |
| Phone Number | 4787578335 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5270 |
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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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What is the unique 10-digit identification code issued to Jennifer Marie Mullis Grant by the Centers for Medicare & Medicaid Services?
The Jennifer Marie Mullis Grant has been assigned the NPI (National Provider Identifier) 1144497736 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jennifer Marie Mullis Grant is located?
The Jennifer Marie Mullis Grant is situated at the following address: 140 N Crest Blvd, Macon, GA, 312101845.
What is Jennifer Marie Mullis Grant's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer Marie Mullis Grant is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1144497736 assigned to Jennifer Marie Mullis Grant?
The Jennifer Marie Mullis Grant was issued its 1144497736 on 2008-05-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jennifer Marie Mullis Grant, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Marie Mullis Grant, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-12-17.