Provider Demographics
NPI:1255908802
Name:JASON N STAMPER DO PLLC
Entity type:Organization
Organization Name:JASON N STAMPER DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:NOAH
Authorized Official - Last Name:STAMPER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:404-805-6232
Mailing Address - Street 1:PO BOX 1559
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-1559
Mailing Address - Country:US
Mailing Address - Phone:404-805-6232
Mailing Address - Fax:606-253-3040
Practice Address - Street 1:551 HAMBLEY BLVD STE 2
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-3798
Practice Address - Country:US
Practice Address - Phone:606-432-2335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty