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

MS. JENNIFER R ADDINGTON, PAC

Active Sole Proprietor

MS. JENNIFER R ADDINGTON, PAC is a Physician Assistant healthcare provider located in PRESCOTT, Wisconsin. NPI 1417245739 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PRESCOTT, WI

Registration Details

NPI Number
1417245739
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2011 (15.040569113707 yrs)
Last Updated
Mar 11, 2021
Licenses
3114-23 (WI)
10924 (MN)
Sole Proprietor
Yes

Practice Information

Address
1400 N ACRES RD
PRESCOTT, WI, 540217038
Browse WI providers · Browse ZIP 54021
Phone
7152624441
Fax
7152624443
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
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.