Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER SCIDMORE, PA-C
Active Sole ProprietorJENNIFER SCIDMORE, PA-C is a Physician Assistant healthcare provider located in RACINE, Wisconsin. NPI 1033583190 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RACINE, WI
Registration Details
- NPI Number
- 1033583190
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2015 (10.69069153123 yrs)
- Last Updated
- Jun 26, 2021
- Licenses
-
3698-23 (WI)3698-23 (WI)54369 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3801 SPRING STRACINE, WI, 53405Browse WI providers · Browse ZIP 53405
- Phone
- 2626874011
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in RACINE, WI
| Name | Credential | NPI |
|---|---|---|
| MICHAEL DEAN CLARK | PA-C | 1033108014 |
| MARY A WHEELER | PA | 1205809753 |
| MR. RYAN BEINE | PA-C | 1104856376 |
| ANGELA WELLS | PA-C | 1407874894 |
| LEIGH PITTS | PA | 1144239948 |
| MS. TERRY G ROMANA | PA-C | 1891802153 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.