Individual provider · Type 1 NPI

Jennifer Ruth Street, MS, PA-C, ATC

Physician Assistant · Louisville, KY

NPI number 1861640104 Active

Practice location

201 Abraham Flexner Way Ste 100
Louisville, KY 40202-3841

Fax (502) 587-0160

Mailing address

PO Box 909
Louisville, KY 40201-0909

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2311 (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 1861640104

Jennifer Ruth Street, MS, PA-C, ATC's National Provider Identifier is 1861640104, issued on Aug 28, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Louisville, KY. The record was last updated on Nov 6, 2023.