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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
Phone(937) 395-8646
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
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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.

JAMES ALAN BRUCE M.D.
Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 435-6136
KENNETH W BROCK MD
Personal Emergency Response Attendant
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8166
JAMES J HOWARD MD
Emergency Medicine
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 436-4658
KEITH D GOLDBLUM MD
Emergency Medicine
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 436-4658
JOHN S KASPER DO
Personal Emergency Response Attendant
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8166
DR. ROY WALTER HAINES M.D.
Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 293-8228
DR. DIANE F IMBROGNO M.D.
Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 293-8228
DR. SEONGBAE KIM M.D.
Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 293-8228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Neely's NPI number?

The NPI number for Jennifer Neely is 1730453911. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Where is Jennifer Neely located?

Jennifer Neely practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8646.

What is Jennifer Neely's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Neely was last updated on March 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.