Clinton Jed Blaine P.A.

  • NPI 1558340844
According to our database, the NPI number for Clinton Jed Blaine P.A. is 1558340844 and activated since 18 years ago. Clinton Jed Blaine P.A. is an individual provider who specializes in Physician Assistant, and the primary practice location is 3295 Poplar Ave Ste 105, Memphis, TN 38111. You can also contact Clinton Jed Blaine P.A. via telephone number is (901) 327-8713. Provider NPI information was last updated on 10/06/2015.

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Overview of Clinton Jed Blaine P.A.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/13/2006
  • Last updated: 10/06/2015

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA161186
  • License State: OR

Provider Mailing Address

  • Address: Po Box 405827
    Atlanta, GA 30384
  • Phone: 901-227-3255
  • Fax: 901-227-8591

Provider Practice Location

  • Address: 3295 Poplar Ave Ste 105
    Memphis, TN 38111
  • Phone: 901-327-8713
  • Fax: 901-327-8284

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA161186
  • License State: OR
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 1509074
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Clinton Jed Blaine P.A.?
  • A: The npi number for Clinton Jed Blaine P.A. is 1558340844.
  • Q: What are Clinton Jed Blaine P.A.'s specialties?
  • A: Clinton Jed Blaine P.A.'s specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Clinton Jed Blaine P.A.?
  • A: The medical license number for Clinton Jed Blaine P.A. is PA161186 and issued in OR in USA.
  • Q: Where is Clinton Jed Blaine P.A. practice location?
  • A: Clinton Jed Blaine P.A. is practicing at 3295 Poplar Ave Ste 105, Memphis, TN 38111.
  • Q: How to contact Clinton Jed Blaine P.A.?
  • A: You can contact Clinton Jed Blaine P.A. via 901-327-8713.