ANGEL L JENKINS PA-C NPI 1881855153

NPI Information

NPI: 1881855153
Provider Name: ANGEL L JENKINS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
75 HAIL KNOB RD
SOMERSET, KY
ZIP 42503
Phone: (606) 678-9617
Get Directions

Angel L Jenkins, PA-C is a medical physician assistant in Somerset, KY. Angel L Jenkins, PA-C NPI is 1881855153. 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:

75 HAIL KNOB RD
SOMERSET, KY
ZIP 42503-434
Phone: (606) 678-9617
Fax: (606) 678-9619

The enumeration date for this NPI number is 6/19/2008 and was last updated on 4/16/2013.

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	PA1119	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0326810	MEDICARE PIN	KENTUCKY
2	7100066980	MEDICAID	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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