| Jason N Stamper Do Pllc | |
|
551 Hambley Blvd Ste 2 Pikeville KY 41501-3798 | |
| (606) 432-2335 | |
| Not Available |
| Full Name | Jason N Stamper Do Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 551 Hambley Blvd Ste 2, Pikeville, Kentucky |
| Authorized Official Name and Position | Jason Noah Stamper (PHYSICIAN) |
| Authorized Official Contact | 4048056232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason N Stamper Do Pllc Po Box 1559 Pikeville KY 41502-1559 Ph: (404) 805-6232 | Jason N Stamper Do Pllc 551 Hambley Blvd Ste 2 Pikeville KY 41501-3798 Ph: (606) 432-2335 |
| NPI Number | 1255908802 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 1951702117 |
|---|---|
| Medicare Enrollment ID | O20210624002716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255908802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jason N Stamper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780635250 PECOS PAC ID: 1759312366 Enrollment ID: I20050823001137 |
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