Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY WAYNE IERY, PA
ActiveMR. JERRY WAYNE IERY, PA is a Medical Physician Assistant healthcare provider located in SOUTH SHORE, Kentucky. NPI 1255416384 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SOUTH SHORE, KY
Registration Details
- NPI Number
- 1255416384
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2006 (19.840942710263 yrs)
- Last Updated
- Apr 18, 2017
- Licenses
-
PA983 (KY)1074488 (OH)PA983 (KY)
Practice Information
- Address
-
142 DEPOT DRSOUTH SHORE, KY, 41175Browse KY providers · Browse ZIP 41175
- Phone
- 6069322271
- Fax
- 6069322273
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
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.