Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER ANN BROUGH WILSON, PA
ActiveJENNIFER ANN BROUGH WILSON, PA is a Physician Assistant healthcare provider located in ROSEBURG, Oregon. NPI 1053714089 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROSEBURG, OR
Registration Details
- NPI Number
- 1053714089
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2014 (11.841958697137 yrs)
- Last Updated
- Mar 7, 2023
- License
-
52022 (CA)
Practice Information
- Address
-
2440 NW EDENBOWER BLVDROSEBURG, OR, 974718847Browse OR providers · Browse ZIP 97471
- Phone
- 5419571141
- Fax
- 5419571466
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| EVE MARIE TRAILL | PA-C | 1356331060 |
| KERRY LYN HARRINGTON | PA-C | 1760473060 |
| MARGOT OUIMETTE | PA | 1700858289 |
| CHARLES A MUSGRAVE | PA-C | 1386617520 |
| MR. CLYDE TERRENCE BANCROFT | PA | 1841397742 |
| PAUL J FIEBER | P.A. | 1043371305 |
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.