Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Forrest Mikesell, MD

Individual provider Dermatology Physician · NPI 1730274432

Jerry Forrest Mikesell, MD is a Dermatology Physician in State College, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1393 N Atherton St
State College, PA 16803-2932
Phone: (814) 238-6097
Fax: (814) 238-5527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD033134E (PA)

Record details

NPI number1730274432
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 29, 2007

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