# JESSICA L TAMELER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609384437
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10003299A | IN | Yes |
| 363A00000X | Physician Assistant | PA2335 | KY | — |
| 363A00000X | Physician Assistant | TC688 | KY | — |
| 363AS0400X | Surgical Physician Assistant | 001008943 | NC | — |

## Other

- **Enumeration date:** 01/15/2018
- **Last updated:** 03/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100505430 | — | KY |