# JAMA R WELLS

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

## Provider details

- **NPI number:** 1972570786
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10000631A | IN | Yes |
| 363A00000X | Physician Assistant | PA741 | KY | — |

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 05/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000367928 | ANTHEM BC & BS | KY |
| 05 | — | 95004057 | — | KY |