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

Jessica G Luckenbill, PA

Individual provider Physician Assistant · NPI 1174873103

Jessica G Luckenbill, PA is a Physician Assistant in Englewood, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9000 N Main St Ste 200
Englewood, OH 45415-1180
Phone: (937) 836-5555
Fax: (937) 836-7518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.003591 (OH)

Record details

NPI number1174873103
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 18, 2012
Last updated in NPPESJuly 11, 2015

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