IndividualActive
Jamie Black, PA-C
NPI 1386695419 · Surgical Physician Assistant · Lexington, KY
Provider details
- NPI number
- 1386695419
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- License
- PA690 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1720 Nicholasville Rd
Suite 502
Lexington, KY 40503-1475
Phone: (859) 277-7129
Fax: (859) 277-9613
Approximate (ZIP-level) locationGet directions
Mailing address
1720 Nicholasville Rd
Lexington, KY 40503-1475
Registry dates
- Enumerated
- 2006-05-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.