MR. JERMAHL DAVID MCKISSICK PA-C NPI 1194045187

NPI Information

NPI: 1194045187
Provider Name: MR. JERMAHL DAVID MCKISSICK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
10651 E ST
NAVAL HEALTH CLINIC CORPUS CHRISTI TX
CORPUS CHRISTI, TX
ZIP 78419
Phone: (559) 513-1586
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MR. Jermahl David Mckissick, PA-C is a medical physician assistant in Corpus Christi, TX. MR. Jermahl David Mckissick, PA-C NPI is 1194045187. 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:

10651 E ST
NAVAL HEALTH CLINIC CORPUS CHRISTI TX
CORPUS CHRISTI, TX
ZIP 78419-130
Phone: (559) 513-1586

The NPI 1194045187 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 6/2/2010 and was last updated on 6/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1091561	NEBRASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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