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NPI Code Detail

MEDICARE: JILLENNE S MCADAM PA-C

MEDICARE: JILLENNE S MCADAM PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant626NE

General Provider Information

NPI Number : 1821036260
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLENNE S MCADAM PA-C
Provider Business Mailing Address
First Line : PO BOX 67250
Second Line :
City : LINCOLN
State : NE
Zip : 68506-7250
Country : US
Telephone Number : 402-328-2907
Fax Number : 888-965-0959
Provider Business Practice Location Address
First Line : 250 N COLUMBIA AVE
Second Line :
City : SEWARD
State : NE
Zip : 68434-2226
Country : US
Telephone Number : 402-643-2971
Fax Number : 402-646-4635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 10/11/2016

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Directions to “ JILLENNE S MCADAM PA-C” Practice Location

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