Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA G LUCKENBILL, PA
Active Sole ProprietorJESSICA G LUCKENBILL, PA is a Physician Assistant healthcare provider located in ENGLEWOOD, Ohio. NPI 1174873103 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ENGLEWOOD, OH
Registration Details
- NPI Number
- 1174873103
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2012 (13.875217725117 yrs)
- Last Updated
- Jul 11, 2015
- License
-
50.003591 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9000 N MAIN STSUITE 200ENGLEWOOD, OH, 454151180Browse OH providers · Browse ZIP 45415
- Phone
- 9378365555
- Fax
- 9378367518
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ENGLEWOOD, OH
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM INGRAM | PA-C | 1366415283 |
| ROBERT B KANUCKEL | PAC | 1821049198 |
| ELYSE WEBER | PA | 1437566874 |
| BRAD RARICK | PA | 1699177055 |
| TIFFANY ANN KARAS | PA-C | 1972905743 |
| BRITTANY MATHIAS | PA | 1073983342 |
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.