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

JESSICA D VAN WULVEN, PA-C

Active

JESSICA D VAN WULVEN, PA-C is a Medical Physician Assistant healthcare provider located in WASILLA, Alaska. NPI 1457758815 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · WASILLA, AK

Registration Details

NPI Number: 1457758815
Provider Type: Individual
Gender: Female
NPI Issued: Dec 1, 2014 (11.747740197868 yrs)
Last Updated: Feb 2, 2024
Licenses: 2365 (AK)

PADA1218 (AK)

Practice Information

Address: 3765 E. BLUE LUPINE DR. STE D

WASILLA, AK, 99654
Browse AK providers · Browse ZIP 99654
Phone: 9077071671
Fax: 9077071675
Primary Specialty: Medical Physician Assistant
363AM0700X
Additional Specialty: Medical Physician Assistant

Other Medical Physician Assistant Providers in WASILLA, AK

Name	Credential	NPI
MR. SCOTT WILLIAM SCHAFER	PA-C, MPAS	1427049238
RICHARD W. BLAKE	PA-C	1740235829
MS. SARAH Y B KEHOE	PA-C	1952490708
JOHN WAYNE MOORE	PA-C	1669552550
SHANNA M MCGRATH	MPH, PA-C, RD, CDE	1548300585
DR. DENNIS L TRANEL	PSYD, MPAS, LSW,PAC	1578730024

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.