Physician Assistant
Mr. JONATHON ENNIS PAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1497267637 · enumerated 2017-10-27 · record updated 2019-03-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 805 BARDSTOWN RD, SPRINGFIELD, KY, 40069-1513 (859) 481-7113 Fax (859) 481-7114 Google Maps Apple Maps OpenStreetMap
- Practice location 805 BARDSTOWN RD, SPRINGFIELD, KY, 40069 (859) 481-7113 Fax (859) 481-7114 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary
In this directory
Locations and evidence
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Practice location
SPRINGFIELD, KY, 40069
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.