JESSE ENNIS, PA-C
Physician Assistant
Active
Individual
NPI: 1063810844
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 115396 (AK) |
Frequently Asked Questions
NPI 1063810844 is the National Provider Identifier for JESSE ENNIS, PA-C, a Physician Assistant provider located in Homer, AK. This NPI was enumerated on December 10, 2014.
JESSE ENNIS, PA-C practices at 4201 BARTLETT ST, Homer, AK 99603.
Quick Facts
- NPI
- 1063810844
- Type
- Individual
- Enumerated
- Dec 10, 2014
- Last Updated
- Nov 30, 2016
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