Jewell, Tammy R

Jewell, Tammy R is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jewell, Tammy R can be contacted via phone (859) 301-2160.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 301-2160
Fax: (859) 301-3932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA811 Kentucky

Profile Details

NPI number 1750363859
LBN Legal business name Jewell, Tammy R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Aug 8th, 2013 - about 12 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 1750363859 NPPES
Kentucky MEDICAID 9500416400
Kentucky Other P00227500

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