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

JENNIFER GUNDERSON

Active Sole Proprietor

JENNIFER GUNDERSON is a Medical Physician Assistant healthcare provider located in BELOIT, Wisconsin. NPI 1366175986 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BELOIT, WI

Registration Details

NPI Number
1366175986
Provider Type
Individual
Gender
Female
NPI Issued
Jul 1, 2022 (4.1047681737175 yrs)
Last Updated
Jan 30, 2024
License
7374-23 (WI)
Sole Proprietor
Yes

Practice Information

Address
1969 W HART RD
BELOIT, WI, 535112230
Browse WI providers · Browse ZIP 53511
Phone
6083645011
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in BELOIT, WI

Name Credential NPI
VICKI P. SMYTHE PA-C 1073630711
NANCY MOE JOHNSON PA 1417262528
PAULA B RIEBE PA-C 1770882748
MOLLY JOSEPHINE PIERCE PA-C 1841912722
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.