Individual
MRS. JESSICA LANE FRIZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 KIANA COURT, SUITE B, PADUCAH, KY 42001
(270) 408-6100
(270) 408-6112
Mailing address
100 KIANA CT APT B, PADUCAH, KY 42001-6767
(270) 408-6100
(270) 408-6112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-003006
IL
363A00000X
Physician Assistant
PA1782
KY
363AM0700X
Medical Physician Assistant
Primary
PA1782
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100225840
—
KY
Enumeration date
08/01/2007
Last updated
03/19/2026
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