Jon Andrew Secrest in Kernersville - Physician Assistant
Jon Andrew Secrest - NPI 1811957871
Jon Andrew Secrest is a Physician Assistant in Kernersville, North Carolina. Jon Andrew Secrest practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jon Andrew Secrest is 1811957871. The last update date is 2020-10-25.
Jon Andrew Secrest's current location address is 291 Broad St, Kernersville, North Carolina. You can contact this provider via phone number 3369938181 and fax number 3369969538. The mailing address for Jon Andrew Secrest is 291 Broad St, Kernersville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Andrew Secrest |
|---|---|
| Address | 291 Broad St, Kernersville, North Carolina |
| Phone Number | 3369938181 |
| Fax Number | 3369969538 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1811957871 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2020-10-25 |
Provider Mailing Address Detail
| Address | 291 Broad St |
|---|---|
| City | Kernersville |
| State | North Carolina (NC) |
| Post Code | 272842932 |
| Phone Number | 3369938181 |
| Fax Number | 3369969538 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 67247 |
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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 unique provider identifier assigned to Jon Andrew Secrest?
The Jon Andrew Secrest has been issued the NPI (National Provider Identifier) 1811957871 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Jon Andrew Secrest is physically located?
The Jon Andrew Secrest is situated at the following address: 291 Broad St, Kernersville, NC 272842932.
What is Jon Andrew Secrest's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jon Andrew Secrest is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did Jon Andrew Secrest receive its 1811957871 assignment from the Centers for Medicare & Medicaid Services?
The Jon Andrew Secrest was assigned its 1811957871 on 2006-03-24, 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 Jon Andrew Secrest, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jon Andrew Secrest, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-25.