According to our database, the NPI number for Jerry Priddy PA is 1003351115 and activated since 7 years ago. Jerry Priddy PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 1301 S Koke Mill Rd, Springfield, IL 62711. You can also contact Jerry Priddy PA via telephone number is (217) 547-9100. Provider NPI information was last updated on 04/13/2020.

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Overview of Jerry Priddy PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/28/2016
  • Last updated: 04/13/2020

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085006117
  • License State: IL

Provider Mailing Address

  • Address: 1301 S Koke Mill Rd
    Springfield, IL 62711
  • Phone: 217-547-9100
  • Fax: 217-547-9236

Provider Practice Location

  • Address: 1301 S Koke Mill Rd
    Springfield, IL 62711
  • Phone: 217-547-9100
  • Fax: 217-547-9236

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085006117
  • License State: IL
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerry Priddy PA?
  • A: The npi number for Jerry Priddy PA is 1003351115.
  • Q: What are Jerry Priddy PA's specialties?
  • A: Jerry Priddy PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jerry Priddy PA?
  • A: The medical license number for Jerry Priddy PA is 085006117 and issued in IL in USA.
  • Q: Where is Jerry Priddy PA practice location?
  • A: Jerry Priddy PA is practicing at 1301 S Koke Mill Rd, Springfield, IL 62711.
  • Q: How to contact Jerry Priddy PA?
  • A: You can contact Jerry Priddy PA via 217-547-9100.