Frizzell, Jessica Lane

Frizzell, Jessica Lane is an individual health care provider with primary practice located at 100 Kiana Court Suite B, Paducah KY 42001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Frizzell, Jessica Lane can be contacted via phone (270) 408-6100.

Contact Information

Primary practice address
100 Kiana Court Suite B Paducah KY 42001
Phone: (270) 408-6100
Fax: (270) 408-6112
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-003006 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1782 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1782 Kentucky

Profile Details

NPI number 1306036603
LBN Legal business name Frizzell, Jessica Lane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Sep 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306036603 NPPES
Kentucky MEDICAID 7100225840

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