Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY PRIDDY, PA-C
ActiveJERRY PRIDDY, PA-C is a Physician Assistant healthcare provider located in SPRINGFIELD, Illinois. NPI 1003351115 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1003351115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2016 (9.6213604323218 yrs)
- Last Updated
- Dec 18, 2024
- Licenses
-
085006117 (IL)085006117 (IL)
Practice Information
- Address
-
619 E MASON ST STE 5SPRINGFIELD, IL, 627011080Browse IL providers · Browse ZIP 62701
- Phone
- 2175458000
- Fax
- 2175452552
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER A SPRINKEL | PA-C | 1346244241 |
| BRAD C ALBERTINI | PA-C | 1588643902 |
| RICHARD HUTCHISON | PA-C | 1871553784 |
| MRS. THERESA M DURBIN | PA-C | 1639120967 |
| JULIE C HART | PA-C | 1003867342 |
| ZACHARY SIMS | P.A.-C | 1033134424 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.