Jennifer A Lunceford in Jacksonville - Physician Assistant
Jennifer A Lunceford - NPI 1891724282
Jennifer A Lunceford is a Physician Assistant in Jacksonville, Texas. Jennifer A Lunceford practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer A Lunceford is 1891724282. The last update date is 2015-09-04.
Jennifer A Lunceford's current location address is 2026 S Jackson St, Jacksonville, Texas. You can contact this provider via phone number 9035865678 and fax number 9035414679. The mailing address for Jennifer A Lunceford is 2026 S Jackson St, Jacksonville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer A Lunceford |
|---|---|
| Address | 2026 S Jackson St, Jacksonville, Texas |
| Phone Number | 9035865678 |
| Fax Number | 9035414679 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1891724282 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2015-09-04 |
Provider Mailing Address Detail
| Address | 2026 S Jackson St |
|---|---|
| City | Jacksonville |
| State | Texas (TX) |
| Post Code | 7576658220 |
| Phone Number | 9035865678 |
| Fax Number | 9035414679 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA02328 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7057548 | TX | AETNA | |
| 8192NP | TX | BCBS | |
| P01492565 | TX | RAIL ROAD | |
| 8821NF | TX | BCBS | |
| 75-1976930-005 | TX | TRICARE | |
| 187881104 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jennifer A Lunceford by the Centers for Medicare & Medicaid Services?
The Jennifer A Lunceford has been issued the NPI (National Provider Identifier) 1891724282, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jennifer A Lunceford's physical address?
The Jennifer A Lunceford is physically located at 2026 S Jackson St, in the city of Jacksonville, TX, with the postal code 7576658220.
What is Jennifer A Lunceford's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer A Lunceford is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did Jennifer A Lunceford receive its 1891724282 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer A Lunceford was assigned its 1891724282 on 2006-06-30, 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 Jennifer A Lunceford, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer A Lunceford, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-09-04.