1831128966 NPI number — JESSICA F. SILER PA-C

Table of content: JESSICA F. SILER PA-C (NPI 1831128966)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831128966 NPI number — JESSICA F. SILER PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILER
Provider First Name:
JESSICA
Provider Middle Name:
F.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZELLWEGER
Provider Other First Name:
JESSICA
Provider Other Middle Name:
F.
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PA-C
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1831128966
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3014
Provider Second Line Business Mailing Address:
1215 DUFF AVE MCFARLAND CLINIC PC
Provider Business Mailing Address City Name:
AMES
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50010-3014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-239-4501
Provider Business Mailing Address Fax Number:
515-239-4446

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3518 STANGE ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
159-564-0445
Provider Business Practice Location Address Fax Number:
515-956-4075
Provider Enumeration Date:
07/01/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  001530 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)