Jessica Lane Frizzell PA-C

NPI 1306036603 - Physician Assistant - 363A00000X

NPI Details
NPI 1306036603
Gender Female
Enumeration Date 08/01/2007
Last Updated 06/13/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
225 MEDICAL CENTER DR
SUITE 101
PADUCAH KY, 42003-7914, US
Phone (270) 441-4357
Fax (270) 441-4132
Business Location
PO BOX 636961
CINCINNATI OH, 45263-6961, US
Phone (513) 981-5130
Fax (513) 981-5015
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085-003006
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According to our database, Ms. Jessica Lane Frizzell PA-C NPI is 1306036603, taxonomy code is 363A00000X and license number is 085-003006, license state is located at Illinois. Jessica Lane Frizzell PA-C physically located at 225 Medical Center Dr, Paducah KY, 42003-7914. NPI Number Jessica Lane Frizzell PA-C has the Individual type.

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1306036603 NPI number is provided on an as is basis without warranty of any kind. 1306036603 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Lane Frizzell PA-C are for informational purposes only.