Jenelle K Evernham in Owensboro - Physician Assistant
Jenelle K Evernham - NPI 1932375391
Jenelle K Evernham is a Physician Assistant in Owensboro, Kentucky. Jenelle K Evernham practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jenelle K Evernham is 1932375391. The last update date is 2018-04-11.
Jenelle K Evernham's current location address is 2211 Mayfair Dr Ste 101, Owensboro, Kentucky. You can contact this provider via phone number 2706881352 and fax number 2706834313. The mailing address for Jenelle K Evernham is 2211 Mayfair Dr Ste 101, Owensboro, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jenelle K Evernham |
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Address | 2211 Mayfair Dr Ste 101, Owensboro, Kentucky |
Phone Number | 2706881352 |
Fax Number | 2706834313 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1932375391 |
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Provider Enumeration Date | 2008-05-06 |
Last Updated Date | 2018-04-11 |
Provider Mailing Address Detail
Address | 2211 Mayfair Dr Ste 101 |
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City | Owensboro |
State | Kentucky (KY) |
Post Code | 423014569 |
Phone Number | 2706881352 |
Fax Number | 2706834313 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 10001008A |
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 |
---|---|---|---|
7100100710 | KY | -- | |
300004679 | IN | -- |
Post Comment/ Review Below
What is the Jenelle K Evernham's unique identification number?
The Jenelle K Evernham has been assigned the NPI (National Provider Identifier) Number 1932375391 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jenelle K Evernham?
The Jenelle K Evernham is situated at 2211 Mayfair Dr Ste 101, in the city of Owensboro, state of KY, with the zip code 423014569.
What is the Jenelle K Evernham's area of specialization and corresponding taxonomy classification?
The Jenelle K Evernham's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did Jenelle K Evernham receive its 1932375391 assignment from the Centers for Medicare & Medicaid Services?
The Jenelle K Evernham was assigned its 1932375391 on 2008-05-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jenelle K Evernham most recently updated?
The details pertaining to the Jenelle K Evernham, including its address, specialty, and other relevant information, were last refreshed on 2018-04-11.
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