Individual
JEFFREY T NECESSARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-5610
(910) 615-5080
Mailing address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-5005
(479) 441-4917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
P-T0611
AR
363AM0700X
Medical Physician Assistant
Primary
0010-08623
NC
363AM0700X
Medical Physician Assistant
PA-287
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5A644
BLUE CROSS
AR
Enumeration date
07/11/2006
Last updated
01/30/2019
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