Jodi A Conley in Grayson - Physician Assistant
Jodi A Conley - NPI 1891860599
Jodi A Conley is a Physician Assistant in Grayson, Kentucky. Jodi A Conley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jodi A Conley is 1891860599. The last update date is 2020-05-19.
Jodi A Conley's current location address is 100 Bellefonte Dr, Grayson, Kentucky. You can contact this provider via phone number 6064740669 and fax number 6064740376. The mailing address for Jodi A Conley is 100 Bellefonte Dr, Grayson, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi A Conley |
|---|---|
| Address | 100 Bellefonte Dr, Grayson, Kentucky |
| Phone Number | 6064740669 |
| Fax Number | 6064740376 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1891860599 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2020-05-19 |
Provider Mailing Address Detail
| Address | 100 Bellefonte Dr |
|---|---|
| City | Grayson |
| State | Kentucky (KY) |
| Post Code | 411431820 |
| Phone Number | 6064740669 |
| Fax Number | 6064740376 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA355 |
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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 |
|---|---|---|---|
| 1071595 | WV | BRICKSTREET/WV COMP | |
| 7100055310 | KY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jodi A Conley?
The Jodi A Conley has been issued the NPI (National Provider Identifier) 1891860599 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jodi A Conley is geographically located?
The Jodi A Conley is physically situated at the following location: 100 Bellefonte Dr, Grayson, KY, 411431820.
What is the area of specialization for Jodi A Conley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jodi A Conley is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did Jodi A Conley receive its 1891860599 assignment from the Centers for Medicare & Medicaid Services?
The Jodi A Conley was assigned its 1891860599 on 2006-11-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jodi A Conley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jodi A Conley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-05-19.
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