Jesse Ennis PA-C

  • 1063810844 NPI Number
  • |
  • Actived: 4 years ago
  • |
According to our database, NPI number for Jesse Ennis PA-C is 1063810844 and actived since Wednesday, December 10 2014. Jesse Ennis PA-C is an individual provider specializes in Physician Assistant, primary practice location is 4201 Bartlett St, Homer, AK 99603. You can also contact Jesse Ennis PA-C via telephone number is (907) 235-7000. Provider NPI information was last updated on 11/30/2016.

Recently Active NPIs

Overview of Jesse Ennis PA-C

  • NPI number: 1003462706
  • Provider type: Individual
  • Specialty: Physician Assistant
  • Gender: Male
  • Active since: 12/10/2014
  • Last updated: 11/30/2016

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 115396
  • License State: AK

Provider Mailing Address

  • Address: 4201 Bartlett St
    Homer, AK 99603
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 4201 Bartlett St
    Homer, AK 99603
  • Phone: 907-235-7000
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 115396
  • License State: AK
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Jesse Ennis PA-C?
  • A: The npi number for Jesse Ennis PA-C is 1063810844.
  • Q: What are Jesse Ennis PA-C's specialties?
  • A: Jesse Ennis PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jesse Ennis PA-C?
  • A: The medical license number for Jesse Ennis PA-C is 115396 and issued in AK in USA.
  • Q: Where is Jesse Ennis PA-C practice location?
  • A: Jesse Ennis PA-C is practicing at 4201 Bartlett St, Homer, AK 99603.
  • Q: How to contact Jesse Ennis PA-C?
  • A: You can contact Jesse Ennis PA-C via 907-235-7000.