Individual provider · Type 1 NPI

Jordan Dale Whitaker, PA

Physician Assistant · Mount Vernon, KY

NPI number 1659922250 Active

Practice location

1770 Lake Cumberland Rd
Mount Vernon, KY 40456-8431

Call (606) 256-7488 Map

Fax (606) 256-8036

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XTC870 (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 1659922250

Jordan Dale Whitaker, PA's National Provider Identifier is 1659922250, issued on Sep 25, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mount Vernon, KY. The record was last updated on Sep 25, 2019.