Provider Demographics
NPI:1023551496
Name:DEMPSEY, JAMIE M (PA)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:M
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 BENEDICT AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2374
Mailing Address - Country:US
Mailing Address - Phone:419-668-1341
Mailing Address - Fax:419-668-0285
Practice Address - Street 1:368 MILAN AVE STE D
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-3106
Practice Address - Country:US
Practice Address - Phone:419-663-6464
Practice Address - Fax:419-663-9881
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-02
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.004910RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty