Individual provider · Type 1 NPI

Jacob Nunamaker V

Physician Assistant · Louisville, KY

NPI number 1114894649 Active

Practice location

2355 Poplar Level Rd
Louisville, KY 40217-1395

Call (502) 891-8300 Map

Mailing address

PO Box 776351
Chicago, IL 60677-6351

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XTC172 (KY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114894649

Jacob Nunamaker V's National Provider Identifier is 1114894649, issued on Oct 20, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Louisville, KY. The record was last updated on Jan 29, 2026.