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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAITLYN JERVIS, PA

Active Sole Proprietor

CAITLYN JERVIS, PA is a Medical Physician Assistant healthcare provider located in WAYLAND, Kentucky. NPI 1497017669 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · WAYLAND, KY

Registration Details

NPI Number
1497017669
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2012 (14.215840823872 yrs)
Last Updated
Mar 14, 2022
Sole Proprietor
Yes

Practice Information

Address
2643 KING KELLY COLEMAN HWY
WAYLAND, KY, 41501
Browse KY providers · Browse ZIP 41501
Phone
6062302255
Primary Specialty
Medical Physician Assistant
363AM0700X
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.