Individual
JASON E DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
78 SUMMERTREE DR, NICHOLASVILLE, KY 40356-9714
(859) 553-6474
(833) 645-2179
Mailing address
78 SUMMERTREE DR, NICHOLASVILLE, KY 40356-9714
(859) 553-6474
(859) 901-0015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA585
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95004339
—
KY
Enumeration date
10/13/2006
Last updated
06/24/2025
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