Sizemore, Jennifer

Sizemore, Jennifer is an individual health care provider with primary practice located at 1210 W 5Th St , London KY 40741-2112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sizemore, Jennifer can be contacted via phone (606) 864-4040.

Contact Information

Primary practice address
1210 W 5Th St London KY 40741-2112
Fax: (606) 878-3500
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA565 Kentucky

Profile Details

NPI number 1083706774
LBN Legal business name Sizemore, Jennifer
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated May 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083706774 NPPES
Kentucky MEDICAID 95003034

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