Denise Patricia Provencher in Jackson - Physician Assistant
Denise Patricia Provencher - NPI 1740299981
Denise Patricia Provencher is a Physician Assistant in Jackson, Michigan. Denise Patricia Provencher practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Denise Patricia Provencher is 1740299981. The last update date is 2021-02-12.
Denise Patricia Provencher's current location address is 505 N Jackson St, Jackson, Michigan. You can contact this provider via phone number 5177485500. The mailing address for Denise Patricia Provencher is 505 N Jackson St, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Denise Patricia Provencher |
|---|---|
| Address | 505 N Jackson St, Jackson, Michigan |
| Phone Number | 5177485500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740299981 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2021-02-12 |
Provider Mailing Address Detail
| Address | 505 N Jackson St |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492011266 |
| Phone Number | 5177485500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MP1005455 |
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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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Post Comment/ Review Below
What is the Denise Patricia Provencher's unique identification number?
The Denise Patricia Provencher has been assigned the NPI (National Provider Identifier) Number 1740299981 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 Denise Patricia Provencher?
The Denise Patricia Provencher is situated at 505 N Jackson St, in the city of Jackson, state of MI, with the zip code 492011266.
What is Denise Patricia Provencher's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Denise Patricia Provencher is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date was the 1740299981 assigned to Denise Patricia Provencher?
The Denise Patricia Provencher was issued its 1740299981 on 2006-08-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Denise Patricia Provencher most recently updated or refreshed?
The details pertaining to the Denise Patricia Provencher, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-02-12.