Jason H Wardell in Little Rock - Physician Assistant
Jason H Wardell - NPI 1396709150
Jason H Wardell is a Physician Assistant in Little Rock, Arkansas. Jason H Wardell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason H Wardell is 1396709150. The last update date is 2015-02-03.
Jason H Wardell's current location address is 10301 Kanis Rd, Little Rock, Arkansas. You can contact this provider via phone number 5016046900 and fax number 5016046941. The mailing address for Jason H Wardell is 10301 Kanis Rd, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason H Wardell |
|---|---|
| Address | 10301 Kanis Rd, Little Rock, Arkansas |
| Phone Number | 5016046900 |
| Fax Number | 5016046941 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1396709150 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2015-02-03 |
Provider Mailing Address Detail
| Address | 10301 Kanis Rd |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722056205 |
| Phone Number | 5016046900 |
| Fax Number | 5016046941 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA235 |
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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 |
|---|---|---|---|
| 204192795 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jason H Wardell by the Centers for Medicare & Medicaid Services?
The Jason H Wardell has been assigned the NPI (National Provider Identifier) 1396709150 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jason H Wardell located?
The Jason H Wardell is located at 10301 Kanis Rd, Little Rock, AR 722056205.
What is Jason H Wardell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason H Wardell is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396709150 to Jason H Wardell?
The Centers for Medicare & Medicaid Services originally issued the 1396709150 to Jason H Wardell on 2006-04-17.
As of what date were the details related to Jason H Wardell most recently updated or revised?
The information pertaining to Jason H Wardell, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-03.