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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELYN NICOLE PROKOP, PA

Active

JACQUELYN NICOLE PROKOP, PA is a Physician Assistant healthcare provider located in MIDLAND, Michigan. NPI 1144778812 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MIDLAND, MI

Registration Details

NPI Number
1144778812
Provider Type
Individual
Gender
Female
NPI Issued
Sep 12, 2016 (9.9014327231214 yrs)
Last Updated
Jan 22, 2019
License
5601007908 (MI)

Practice Information

Address
301 W WACKERLY ST
MIDLAND, MI, 486402761
Browse MI providers · Browse ZIP 48640
Phone
9898320900
Fax
9896330349
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MIDLAND, MI

Name Credential NPI
MR. DARREN COLBY BRISENO PA-C 1538158415
MRS. SUSANNA MARIE STORENG PA-C 1912980533
KAREN D MCHENRY PA 1740259449
MICHAEL P MCHENRY PA 1700855319
MR. DON JEFFERY CUI PA-C 1497705974
CINDY L BEADLE PA-C 1558316976
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.