Jesse Ennis PA-C

  • NPI 1063810844
According to our database, the NPI number for Jesse Ennis PA-C is 1063810844 and activated since 5 years ago. Jesse Ennis PA-C is an individual provider who specializes in Physician Assistant, and the 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.

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Overview of Jesse Ennis PA-C

  • NPI number: 1093332850
  • Provider type: Individual
  • 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

  • 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 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.