Individual provider · Type 1 NPI

Jennifer Marie Sponaugle, PA

Physician Assistant · Lexington, KY

NPI number 1497167373 Active

Practice location

800 Rose St Roach Cancer Ctr 1st Fl
Lexington, KY 40536-2100

Fax (859) 257-6002

Mailing address

6071W Outer Dr
Detroit, MI 48235-2624

Other practice locations

  • 17320 W 12 Mile Rd, Ste 100, Southfield, MI 48076-2100 · (248) 864-8912

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA3627 (KY)
Physician Assistant 363A00000X5601007029 (MI)
Surgical Physician Assistant 363AS0400XPA3627 (KY)
Physician Assistant Primary 363A00000XPA3627 (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…

7 other providers at this address

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About NPI 1497167373

Jennifer Marie Sponaugle, PA's National Provider Identifier is 1497167373, issued on May 27, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lexington, KY. The record was last updated on Jul 1, 2025.