Jennifer Koch Mezick, PA-C
Physician Assistant, Medical in Foley, AL. Individual provider (NPI-1).
NPI number1699058917
StatusActive
Last updated in NPPESSep 22, 2011
Details
- NPI
- 1699058917
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Koch Mezick
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2011
- Last updated
- Sep 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 782 | AL | Yes |
Practice location
1613 N McKenzie StFoley, AL 36535-2247
Phone 251-949-3400
Mailing address
307 Gaines AveMobile, AL 36609-2460
Phone 251-463-3457
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