Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA J. BLACKBURN, PA-C
ActiveMRS. AMANDA J. BLACKBURN, PA-C is a Physician Assistant healthcare provider located in JACKSON, Kentucky. NPI 1912994260 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JACKSON, KY
Registration Details
- NPI Number
- 1912994260
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2005 (20.853045228958 yrs)
- Last Updated
- May 19, 2022
- License
-
PA804 (KY)
Practice Information
- Address
-
1484 LAKESIDE DRJACKSON, KY, 413396555Browse KY providers · Browse ZIP 41339
- Phone
- 6066669950
- Fax
- 6066669136
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in JACKSON, KY
| Name | Credential | NPI |
|---|---|---|
| MS. VERNA JEAN BURNETTE | PAC | 1679677397 |
| MARY ELIZABETH ELDRIDGE | PA-C | 1912143298 |
| JAMES B WEST | PA-C | 1689807182 |
| CARL GROSS | — | 1851842199 |
| KELSEA B COMBS | PA-C | 1265015317 |
| ALLIE CLEVENGER | PA-C | 1912690298 |
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.