Individual
MRS. JESSICA COMER PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 539-4080
(256) 539-4099
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1832
TN
363A00000X
Physician Assistant
Primary
PA.994
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172651
—
AL
01
—
511-58404
BCBS
AL
Enumeration date
04/12/2010
Last updated
09/29/2015
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