JENNIFER ALISSA NEELY PA-C
NPI 1730453911
Physician Assistant in Kettering, OH

Active since March 06, 2012
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8646(937) 395-8697 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Alissa Neely Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ALISSA NEELY PA-C (NPI 1730453911) is an individual physician assistant in Kettering, Ohio, licensed in Ohio (50003466) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1730453911
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER ALISSA NEELYCredential: PA-C
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address2110 Leiter RdMiamisburg, OH 45342-3660 · (937) 384-4841 · Fax (937) 522-7626
Fax(937) 395-8697
Sole ProprietorNo
Enumeration DateMarch 6, 2012
Last NPPES UpdateMarch 20, 2012
NPI 1730453911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50003466
Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3535 SOUTHERN BLVD, Kettering, OH 45429

Other Identifiers 1

Medicare PINH077350OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429
Personal Emergency Response Attendant
3535 SOUTHERN BLVD
KETTERING, OH 45429
Emergency Medicine
3535 SOUTHERN BLVD
KETTERING, OH 45429
Emergency Medicine
3535 SOUTHERN BLVD
KETTERING, OH 45429
Personal Emergency Response Attendant
3535 SOUTHERN BLVD
KETTERING, OH 45429
Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429
Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429
Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730453911, enumerated as an "individual" on March 06, 2012.

The provider is located at 3535 SOUTHERN BLVD KETTERING, OH 45429 and the phone number is (937) 395-8646.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.