- Practice location
- 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850
- Phone
- 517-205-1594
- Fax
- —
- Last updated
- June 27, 2024
Angela Nicole Egmon is a Physician Assistant based in Jackson, MI. Angela Nicole Egmon practices in Jackson, MI and has the professional credentials of PA-C. The NPI Number for Angela Nicole Egmon is 1063199198 and holds a License No. 2082 (NH). The current practice location address for Angela Nicole Egmon is 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 and can be reached out via phone at 517-205-1594.
Provider Profile Details
- NPI Number
- 1063199198
- Provider Name
- Angela Nicole Egmon
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850
- Phone Number
- 517-205-1594
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 30, 2023
- Last Update Date
- June 27, 2024
- Certification Date
- June 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1100 E Michigan Ave Ste 307
Jackson, MI 49201-1850 - City
- Jackson
- State
- Michigan
- Zip
- 49201-1850
- Phone Number
- 517-205-1594
Provider Business Mailing Address Details
- Address
- 1100 E Michigan Ave Ste 307
Jackson, MI 49201-1850 - City
- Jackson
- State
- MI
- Zip
- 49201-1850
- Phone Number
- 517-205-1594
License Information
- License Number (1)
- 2082
- License State (1)
- NH
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 5601012377
- License State (2)
- MI
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Angela N Egmon, PA-C?
The NPI number of Angela N Egmon, PA-C is 1063199198. It was assigned on June 30, 2023 and is currently active in the NPPES registry.
What is the specialty of Angela N Egmon, PA-C?
Angela N Egmon, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NH under license number 2082.
Where does Angela N Egmon, PA-C practice?
The practice location is 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850. The office can be reached at 517-205-1594 (phone).
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 1063199198 directly on the NPPES registry website.