JESSICA LATHAM PA-C MPAS NPI 1619203015

NPI Information

NPI: 1619203015
Provider Name: JESSICA LATHAM, PA-C, MPAS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
344 E 100 S
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 322-3222
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Jessica Latham, PA-C, MPAS is a medical physician assistant in Salt Lake City, UT with 15 years of experience. Jessica Latham, PA-C, MPAS NPI is 1619203015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

344 E 100 S
SALT LAKE CITY, UT
ZIP 84111-700
Phone: (801) 322-3222

The NPI 1619203015 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 10/20/2009 and was last updated on 6/30/2023.

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	7432864-1206	UTAH	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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