Jennifer A. Raisley in Lexington - Medical

Jennifer A. Raisley - NPI 1134140494

Jennifer A. Raisley is a Medical in Lexington, Kentucky. Jennifer A. Raisley practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennifer A. Raisley is 1134140494. The last update date is 2020-07-29.

Jennifer A. Raisley's current location address is 740 S Limestone, Lexington, Kentucky. You can contact this provider via phone number 8593235533 and fax number 8593232412. The mailing address for Jennifer A. Raisley is 740 S Limestone, Lexington, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer A. Raisley
Address 740 S Limestone, Lexington, Kentucky
Phone Number 8593235533
Fax Number 8593232412
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1134140494
Provider Enumeration Date 2006-07-22
Last Updated Date 2020-07-29

Provider Mailing Address Detail

Address 740 S Limestone
City Lexington
State Kentucky (KY)
Post Code 405360001
Phone Number 8593235533
Fax Number 8593232412

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA993
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7100003050 KY --
494035 KY BLUE CROSS BLUE SHIELD
61-0979936 KY TAX ID

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FAQs about Jennifer A. Raisley

What is the unique 10-digit identifier code issued to Jennifer A. Raisley by the Centers for Medicare & Medicaid Services?

The Jennifer A. Raisley has been assigned the NPI (National Provider Identifier) 1134140494 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jennifer A. Raisley is physically located?

The Jennifer A. Raisley is situated at the following address: 740 S Limestone, Lexington, KY 405360001.

What is the Jennifer A. Raisley's specialty and taxonomy code?

The Jennifer A. Raisley's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134140494 to Jennifer A. Raisley?

The Centers for Medicare & Medicaid Services assigned the 1134140494 to Jennifer A. Raisley on 2006-07-22.

As of what date were the details pertaining to Jennifer A. Raisley last refreshed?

The information related to the Jennifer A. Raisley, including its address, specialty, and other relevant details, was last updated on 2020-07-29.

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