Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER RUTH STREET, MS, PA-C, ATC
ActiveMRS. JENNIFER RUTH STREET, MS, PA-C, ATC is a Physician Assistant healthcare provider located in LOUISVILLE, Kentucky. NPI 1861640104 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LOUISVILLE, KY
Registration Details
- NPI Number
- 1861640104
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2008 (17.982062358651 yrs)
- Last Updated
- Nov 6, 2023
- License
-
PA2311 (KY)
Practice Information
- Address
-
201 ABRAHAM FLEXNER WAY STE 100LOUISVILLE, KY, 402023841Browse KY providers · Browse ZIP 40202
- Phone
- 5025878222
- Fax
- 5025870160
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| MELISSA DAWN EDDS | PA-C | 1578566600 |
| MR. JAMES SCOTT GAGEL | PA | 1073518262 |
| MICHAEL E GILBERT | PA-C | 1265438550 |
| CANDY SUE FISCHBACH | PA-C | 1992703383 |
| KIRK A FOUGNIE | PA-C | 1295734747 |
| MRS. TRACEY GREGORY MAYNOR | PAC | 1043219520 |
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.