Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE ENNIS, PA-C
Active Sole ProprietorPhysician Assistant · HOMER, AK
Registration Details
- NPI Number
- 1063810844
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2014 (11.361878951936 yrs)
- Last Updated
- Nov 30, 2016
- License
-
115396 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4201 BARTLETT STHOMER, AK, 996037015Browse AK providers · Browse ZIP 99603
- Phone
- 9072357000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HOMER, AK
| Name | Credential | NPI |
|---|---|---|
| REBECCA D PLYMIRE | PA-C | 1497713192 |
| MRS. ANN FEIGE ANDERSON | PA | 1619045267 |
| NANCY MARLENE MACKEY | PA | 1790853331 |
| MRS. KARA BREANNE ZIMMERMAN | PA-C | 1437765005 |
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.