Active NPIIndividual provider

Jeniane L Rathburn, PA-C

Physician Assistant, Medical in Concord, Vermont

NPI Number1013973858
Practice location
201 E Main Street, Concord Health Center, Concord, VT 05824-0355
Fax
802-695-1303
Last updated
October 10, 2023

Jeniane L. Rathburn is a Physician Assistant, Medical based in Concord, VT. Jeniane L. Rathburn practices in Concord, VT and has the professional credentials of PA-C. The NPI Number for Jeniane L. Rathburn is 1013973858 and holds a License No. 0550031134 (VT). The current practice location address for Jeniane L. Rathburn is 201 E Main Street, Concord Health Center, Concord, VT 05824-0355 and can be reached out via phone at 802-695-2512 and via fax at 802-695-1303.

Provider Profile Details

NPI Number
1013973858
Provider Name
Jeniane L. Rathburn
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
201 E Main Street, Concord Health Center, Concord, VT 05824-0355
Phone Number
802-695-2512
Fax Number
802-695-1303
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
-- Jeniane L. Daniels, DANIELS (Former Name)
Provider Enumeration Date
April 21, 2006
Last Update Date
October 10, 2023
Certification Date
October 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 E Main Street
Concord Health Center
Concord, VT 05824-0355
State
Vermont
Zip
05824-0355
Phone Number
802-695-2512
Fax Number
802-695-1303
Concord, VT 05824Get directions →

Provider Business Mailing Address Details

Address
165 Sherman Dr
St Johnsbury, VT 05819-9811
City
St Johnsbury
State
VT
Zip
05819-9811
Phone Number
802-748-9405
Fax Number
802-748-4540

License Information

License Number (1)
0550031134
License State (1)
VT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
0550030707
License State (2)
VT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
License Number (3)
0550030914
License State (3)
VT
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeniane L Rathburn, PA-C?

The NPI number of Jeniane L Rathburn, PA-C is 1013973858. It was assigned on April 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Jeniane L Rathburn, PA-C?

Jeniane L Rathburn, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VT under license number 0550031134.

Where does Jeniane L Rathburn, PA-C practice?

The practice location is 201 E Main Street, Concord Health Center, Concord, VT 05824-0355. The office can be reached at 802-695-2512 (phone) or 802-695-1303 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013973858 directly on the NPPES registry website.

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