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

JENNICA LONG

Active

JENNICA LONG is a Physician Assistant healthcare provider located in OWOSSO, Michigan. NPI 1235951328 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OWOSSO, MI

Registration Details

NPI Number
1235951328
Provider Type
Individual
Gender
Female
NPI Issued
Oct 29, 2024 (1.6115713624443 yrs)
Last Updated
Oct 29, 2024
License
5601012849 (MI)

Practice Information

Address
818 W KING ST STE 101
OWOSSO, MI, 488672159
Browse MI providers · Browse ZIP 48867
Phone
9897258171
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in OWOSSO, MI

Name Credential NPI
DENESE S IRISH P.A. 1093763088
JENNIFER EASHOO LAWSON PA 1043257223
DIANE C SCRIBNER PA-C 1629170394
MICHAEL SCOTT SMITH PA-C 1003918855
MARIE L SPIESS PA-C 1104909753
CHARISSE O HOOK PA-C 1891822292
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.