Kristal Lynne Jaster in Port Wentworth - Physician Assistant
Kristal Lynne Jaster - NPI 1689768673
Kristal Lynne Jaster is a Physician Assistant in Port Wentworth, Georgia. Kristal Lynne Jaster practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kristal Lynne Jaster is 1689768673. The last update date is 2018-03-17.
Kristal Lynne Jaster's current location address is 7306 Ga Highway 21 Ste 105, Port Wentworth, Georgia. You can contact this provider via phone number 9129662575 and fax number 9129660906. The mailing address for Kristal Lynne Jaster is 7306 Ga Highway 21 Ste 105, Port Wentworth, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kristal Lynne Jaster |
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Address | 7306 Ga Highway 21 Ste 105, Port Wentworth, Georgia |
Phone Number | 9129662575 |
Fax Number | 9129660906 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1689768673 |
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Provider Enumeration Date | 2006-10-03 |
Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
Address | 7306 Ga Highway 21 Ste 105 |
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City | Port Wentworth |
State | Georgia (GA) |
Post Code | 314079275 |
Phone Number | 9129662575 |
Fax Number | 9129660906 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 0010-04041 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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7452 | GA | PHYSICIAN ASSISTANT LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kristal Lynne Jaster by the Centers for Medicare & Medicaid Services?
The Kristal Lynne Jaster has been issued the NPI (National Provider Identifier) 1689768673, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kristal Lynne Jaster is physically located?
The Kristal Lynne Jaster is situated at the following address: 7306 Ga Highway 21 Ste 105, Port Wentworth, GA 314079275.
What is Kristal Lynne Jaster's area of expertise and its corresponding taxonomy classification?
The Kristal Lynne Jaster's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1689768673 to Kristal Lynne Jaster?
The Kristal Lynne Jaster received its 1689768673 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date was the information regarding Kristal Lynne Jaster, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kristal Lynne Jaster, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.
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