Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB (JAKE) WILLIAM CONDREN, PA-C
ActiveJACOB (JAKE) WILLIAM CONDREN, PA-C is a Physician Assistant healthcare provider located in BOLIVAR, Missouri. NPI 1265971865 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BOLIVAR, MO
Registration Details
- NPI Number
- 1265971865
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2017 (9.4577883967121 yrs)
- Last Updated
- Feb 15, 2017
Practice Information
- Address
-
1155 W PARKVIEW STSUITE 2DBOLIVAR, MO, 656138279Browse MO providers · Browse ZIP 65613
- Phone
- 4177772663
- Fax
- 4177772666
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BOLIVAR, MO
| Name | Credential | NPI |
|---|---|---|
| BETHANY S LEMMON | PA-C | 1710127642 |
| ANJALI M EDSON | P.A. | 1417202425 |
| CARESSA R PATEL | PA-C | 1992123889 |
| MR. SCOTT LESLIE DENNIS | PA | 1073916573 |
| MELISSA GIBBS | PA-C | 1821529520 |
| RETHA MARCELEEN MELTON | PA-C | 1366074817 |
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.