Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JILL DELANA SHORT, PHYSICIAN ASSISTANT
Active Sole ProprietorMISS JILL DELANA SHORT, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in LOUISA, Kentucky. NPI 1619143146 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LOUISA, KY
Registration Details
- NPI Number
- 1619143146
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2008 (18.241102117631 yrs)
- Last Updated
- Apr 23, 2010
- License
-
PA442 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
412 N LOCK AVELOUISA, KY, 412301115Browse KY providers · Browse ZIP 41230
- Phone
- 6066384595
- 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.