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

Miss. Jill Delana Short, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1619143146

Miss. Jill Delana Short, PHYSICIANASSISTANT is a Physician Assistant in Louisa, Kentucky. Qualified in 1998, 28 years ago. Practices with Three Rivers Medical Clinics Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
28
Licensed in
KY
In the registry since
2008

Practice location Address checks out

412 N Lock Ave
Louisa, KY 41230-1115
Phone: (606) 638-4595
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA442 (KY)

Record details

NPI number1619143146
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedMay 5, 2008
Last updated in NPPESApril 23, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Three Rivers Medical Clinics Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Louisa