Individual provider · Type 1 NPI

Jamie Black, PA-C

Surgical Physician Assistant · Lexington, KY

NPI number 1386695419 Active

Practice location

1720 Nicholasville Rd, Suite 502
Lexington, KY 40503-1475

Fax (859) 277-9613

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA690 (KY)

Surgical Physician Assistant: Definition to come...

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About NPI 1386695419

Jamie Black, PA-C's National Provider Identifier is 1386695419, issued on May 13, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lexington, KY. The record was last updated on Jul 13, 2026.