Individual provider · Type 1 NPI

Janette Humpolick, PHYSICIAN ASSISTANT

Physician Assistant · Dyersburg, TN

NPI number 1861468308 Active

Practice location

509 Lake Rd
Dyersburg, TN 38024-3877

Fax (731) 287-7373

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA00000000404 (TN)

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 1861468308

Janette Humpolick, PHYSICIAN ASSISTANT's National Provider Identifier is 1861468308, issued on Feb 24, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dyersburg, TN. The record was last updated on Jul 13, 2026.