Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHON LEE ENNIS, PAC
ActiveMR. JONATHON LEE ENNIS, PAC is a Physician Assistant healthcare provider located in SPRINGFIELD, Kentucky. NPI 1497267637 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SPRINGFIELD, KY
Registration Details
- NPI Number
- 1497267637
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2017 (8.7566457482187 yrs)
- Last Updated
- Mar 28, 2019
Practice Information
- Address
-
805 BARDSTOWN RDSPRINGFIELD, KY, 40069Browse KY providers · Browse ZIP 40069
- Phone
- 8594817113
- Fax
- 8594817114
- Primary Specialty
-
Physician Assistant
363A00000X
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.