Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE ELIZABETH CHILDS, PA-C
ActiveJESSE ELIZABETH CHILDS, PA-C is a Medical Physician Assistant healthcare provider located in WINNEBAGO, Wisconsin. NPI 1104289099 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WINNEBAGO, WI
Registration Details
- NPI Number
- 1104289099
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2016 (10.38036882196 yrs)
- Last Updated
- Jul 5, 2023
- License
-
7598 (GA)
Practice Information
- Address
-
1300 SOUTH DRIVEWINNEBAGO, WI, 549855498Browse WI providers · Browse ZIP 54985
- Phone
- 9202354910
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.