MRS. JACQUELYNN ANNE LIDDINGTON (NPI# 1326106873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326106873 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELYNN ANNE LIDDINGTON |
| Credential | PAC |
| Practice Address |
1239 Woodland Dr Ste 105 Elizabethtown KY 42701-2770 |
| Mailing Address |
2280 Cherry Spring Rd Cub Run KY 42729-8629 |
| Practice Telephone | 2707657676 |
| Practice Fax Number | 2709829222 |
| Mailing Telephone | 2705244257 |
| Mailing Fax Number | 2709829222 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA147 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1239 WOODLAND DR STE 105 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215003264 | Beth Etta Morrow | Physician Assistant | 1321 Ring Rd Ste 105, Elizabethtown, KY 42701-8940 | 2006-11-28 |
| 1194808998 | Jae Lyn Burke | Physician Assistant | 66 Park Street, Elizabethtown, NY 12932 | 2006-10-23 |
| 1841283041 | Tiffany Shea Robinson | Physician Assistant | 1311 Ring Rd Ste 103, Elizabethtown, KY 42701-8941 | 2005-08-24 |
| 1881119873 | Trelena Christeen Brown | Physician Assistant | 300a E Mckay St, Elizabethtown, NC 28337 | 2017-08-10 |
| 1629461751 | Central Medical Associates Pllc | Physician Assistant | 1311 Ring Rd Ste 103, Elizabethtown, KY 42701 | 2015-03-13 |
| 1568886711 | Hannah M Wilson | Physician Assistant | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2014-02-08 |
| 1144518028 | Meghann Wenger | Physician Assistant | 418 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2011-07-13 |
| 1932492733 | James Moss Pllc | Physician Assistant | 1105 Julianna Ct, Suite 1, Elizabethtown, KY 42701-7937 | 2011-05-26 |
| 1194908376 | Briana Gayle Graham | Physician Assistant | 300 E Mckay St, Elizabethtown, NC 28337-9037 | 2007-12-11 |
| 1871710020 | Robert Alan Andrews | Physician Assistant | 75 Park St, Elizabethtown Community Hospital, Elizabethtown, NY 12932 | 2007-04-19 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on MRS. JACQUELYNN ANNE LIDDINGTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.