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
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
Provider Enumeration Date 2008-05-06
Last Updated Date 2018-04-11

Provider Mailing Address Detail

Address 2211 Mayfair Dr Ste 101
City Owensboro
State Kentucky (KY)
Post Code 423014569
Phone Number 2706881352
Fax Number 2706834313

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
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 --

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FAQs about Jenelle K Evernham

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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