Individual
JAMIE S MCNEELY
Active
Individual
JAMIE S MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110001688
VA
363A00000X
Physician Assistant
3145
TN
363AS0400X
Surgical Physician Assistant
Primary
3145
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010033594
—
VA
01
—
092800
ANTHEM BC
VA
05
—
Q056617
—
TN
Enumeration date
08/04/2008
Last updated
03/26/2026
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