Individual
JESSICA L TAMELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
350 W COLUMBIA ST STE 310, EVANSVILLE, IN 47710-1782
(812) 464-9133
(812) 464-0559
Mailing address
PO BOX 632111, CINCINNATI, OH 45263-2111
(812) 450-6879
(812) 858-4586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003299A
IN
363A00000X
Physician Assistant
PA2335
KY
363A00000X
Physician Assistant
TC688
KY
363AS0400X
Surgical Physician Assistant
001008943
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100505430
—
KY
Enumeration date
01/15/2018
Last updated
03/12/2025
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