Jerry Priddy, PA is a surgical physician assistant in Springfield, IL with 8 years of experience. Jerry Priddy, PA NPI is 1003351115. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1301 S KOKE MILL RD
SPRINGFIELD, IL
ZIP 62711
Phone: (217) 547-9100
Fax: (217) 547-9236
The NPI 1003351115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/28/2016 and was last updated on 4/13/2020.