Individual provider · Type 1 NPI

Jayne Lyn O'Gorman, PA-C

Student in an Organized Health Care Education/Training Program · Oak Ridge, TN

NPI number 1851400428 Active

Practice location

200 New York Ave Ste 150
Oak Ridge, TN 37830-5227

Call (865) 835-5855 Map

Other practice locations

  • 170 E 77th St, New York, NY 10075-1912 · (646) 687-7600

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X007576-1 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1851400428

Jayne Lyn O'Gorman, PA-C's National Provider Identifier is 1851400428, issued on Aug 29, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oak Ridge, TN. The record was last updated on Mar 28, 2025.