Individual
JENNIFER L. ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
US 23 AT INDIANOLA AVENUE, SOUTH SHORE, KY 41175
(606) 932-3159
(606) 932-6896
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA454
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223253
ANTHEM BCBS
KY
01
—
000000598744
ANTHEM BCBS
KY
01
—
000000609840
ANTHEM BCBS
KY
01
—
000000623838
ANTHEM BCBS
KY
05
—
95003448
—
KY
Enumeration date
07/03/2006
Last updated
12/22/2020
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