Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY FORREST MIKESELL, M.D.
ActiveJERRY FORREST MIKESELL, M.D. is a Dermatology healthcare provider located in STATE COLLEGE, Pennsylvania. NPI 1730274432 is currently active in the NPPES registry. Verify at CMS.
Dermatology · STATE COLLEGE, PA
Registration Details
- NPI Number
- 1730274432
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.878257184854 yrs)
- Last Updated
- Aug 29, 2007
- License
-
MD033134E (PA)
Practice Information
- Address
-
1393 N ATHERTON STSTATE COLLEGE, PA, 168032932Browse PA providers · Browse ZIP 16803
- Phone
- 8142386097
- Fax
- 8142385527
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in STATE COLLEGE, PA
| Name | Credential | NPI |
|---|---|---|
| DR. LORETTA A PRATT | MD | 1770583320 |
| SARA B FERGUSON | MD | 1992781959 |
| ERIN R VANNESS | MD | 1912976135 |
| DR. MATTHEW ALLYN HAZEY | M.D. | 1902015597 |
| DR. CASSANDRA JOY SIMONETTA | M.D. | 1508203811 |
| DR. MARIA ISABEL LONGO-IMEDIO | MD | 1285028126 |
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.