Jerry D. Dickess

Physician Assistant · Ashland, KY

Individual Active NPI

NPI number 1033697990

Practice location

613 23rd St Ste G10
Ashland, KY 41101-2886
Phone
(064) 085-8646
Fax
(606) 408-6499

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NPI record

NPI
1033697990
Entity type
Individual (Type 1)
Enumeration date
August 2, 2018
Last updated
May 24, 2022
Certified
May 24, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA2449 KY
Physician Assistant 363A00000X 50.005673 OH

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone
(606) 408-5864
Fax
(606) 408-6499

Other practice locations (1)

  • 2001 Scioto Trl Ste 200, Portsmouth, OH 45662-2845 · (740) 353-8100

About Jerry Dickess

Jerry D. Dickess is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 613 23rd St Ste G10, Ashland, KY 41101-2886. The NPI number 1033697990 was assigned on August 2, 2018 and the record was last updated on May 24, 2022.

Jerry Dickess lists 2 licenses in the registry: #PA2449 (KY) for Physician Assistant; #50.005673 (OH) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry D. Dickess?

The NPI number is 1033697990.

What is the phone number of Jerry Dickess?

The phone number listed for the practice location is (064) 085-8646.

Where is Jerry Dickess located?

613 23rd St Ste G10, Ashland, KY 41101-2886.

What is the taxonomy code for Jerry Dickess?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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