Jessica Wilson in Beattyville - Physician Assistant

Jessica Wilson - NPI 1952597585

Jessica Wilson is a Physician Assistant in Beattyville, Kentucky. Jessica Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica Wilson is 1952597585. The last update date is 2022-05-19.

Jessica Wilson's current location address is 1025 Grand Avenue, Beattyville, Kentucky. You can contact this provider via phone number 6064642401 and fax number 6064643290. The mailing address for Jessica Wilson is 1025 Grand Avenue, Beattyville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica Wilson
Address 1025 Grand Avenue, Beattyville, Kentucky
Phone Number 6064642401
Fax Number 6064643290
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1952597585
Provider Enumeration Date 2007-09-18
Last Updated Date 2022-05-19

Provider Mailing Address Detail

Address 1025 Grand Avenue
City Beattyville
State Kentucky (KY)
Post Code 41311
Phone Number 6064642401
Fax Number 6064643290

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA1047
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
7100021290 KY --

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FAQs about Jessica Wilson

What is the unique 10-digit identifier code assigned to Jessica Wilson by the Centers for Medicare & Medicaid Services?

The Jessica Wilson has been issued the NPI (National Provider Identifier) 1952597585 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jessica Wilson is physically located?

The Jessica Wilson is situated at the following address: 1025 Grand Avenue, Beattyville, KY 41311.

What is Jessica Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jessica Wilson's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

When did the Jessica Wilson receive its 1952597585?

The Jessica Wilson was issued its 1952597585 on 2007-09-18, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Jessica Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jessica Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-05-19.

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