Jennifer E Edison in Wichita - Physician Assistant
Jennifer E Edison - NPI 1578776001
Jennifer E Edison is a Physician Assistant in Wichita, Kansas. Jennifer E Edison practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer E Edison is 1578776001. The last update date is 2021-03-30.
Jennifer E Edison's current location address is 4722 W Kellogg Dr, Wichita, Kansas. You can contact this provider via phone number 3164402565 and fax number 3164402750. The mailing address for Jennifer E Edison is 4722 W Kellogg Dr, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer E Edison |
|---|---|
| Address | 4722 W Kellogg Dr, Wichita, Kansas |
| Phone Number | 3164402565 |
| Fax Number | 3164402750 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1578776001 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 4722 W Kellogg Dr |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672092508 |
| Phone Number | 3164402565 |
| Fax Number | 3164402750 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 15-00365 |
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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 Jennifer E Edison's unique identification number?
The Jennifer E Edison has been assigned the NPI (National Provider Identifier) Number 1578776001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jennifer E Edison is physically located?
The Jennifer E Edison is situated at the following address: 4722 W Kellogg Dr, Wichita, KS 672092508.
What is Jennifer E Edison's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer E Edison's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Jennifer E Edison receive the assignment of its 1578776001 from the Centers for Medicare & Medicaid Services?
The Jennifer E Edison was issued its 1578776001 by the Centers for Medicare & Medicaid Services on 2007-05-08.
As of what date were the Jennifer E Edison's details last updated?
The information pertaining to the Jennifer E Edison, including its address, specialty, and other details, was most recently updated on 2021-03-30.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY