NPI 1750419966 · live from the CMS NPI Registry
Jaclyn Lea Adkins, PA
Physician Assistant in Rainelle, WV. National Provider Identifier 1750419966, active.
NPI record
| NPI | 1750419966 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 645 Kanawha Ave, Rainelle, WV 25962 |
| Practice phone | 304-438-6188 |
| Mailing address | Hc 30 Box 56, Caldwell, WV 24925 |
| Enumerated | March 1, 2007 |
| Last updated | July 14, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 00866 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.