Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS BASHAM, PA
ActiveNICHOLAS BASHAM, PA is a Physician Assistant healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1710301684 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1710301684
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2014 (12.356387302461 yrs)
- Last Updated
- Apr 25, 2019
- License
-
PA0000002721 (TN)
Practice Information
- Address
-
650 JOEL DRFORT CAMPBELL, KY, 422235318Browse KY providers · Browse ZIP 42223
- Phone
- 2704125122
- Fax
- 2704125168
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FORT CAMPBELL, KY
| Name | Credential | NPI |
|---|---|---|
| SHELIA RENEE MITCHELL | P.A. | 1689669996 |
| MR. JOHN PAGE DANA | PHYSICIAN ASSISTANT | 1740261429 |
| MR. MARTY ROBERT LITCHFIELD | P.A. | 1306828900 |
| MUMTAZ KHAN | PA | 1093795726 |
| MR. LEANDRO SOLIS | — | 1245206622 |
| MS. CHERYL ANN MORSE | PA-C | 1770559155 |
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.