Jerry Priddy, PA-C
NPI 1003351115 · Physician Assistant · Springfield, IL
Jerry Priddy, PA-C is a Physician Assistant provider in Springfield, IL (NPI 1003351115).
Provider details
- NPI number
- 1003351115
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085006117 (IL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-12-28
- Last updated
- 2024-12-18
- Certified
- 2024-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.