Individual
JAMA R WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3700 WASHINGTON AVE # 2200, EVANSVILLE, IN 47714-0541
(812) 485-7111
Mailing address
3700 WASHINGTON AVE # 2200, EVANSVILLE, IN 47714-0541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000631A
IN
363A00000X
Physician Assistant
PA741
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000367928
ANTHEM BC & BS
KY
05
—
95004057
—
KY
Enumeration date
03/01/2006
Last updated
05/19/2022
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