Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA K PROVANCE, PA-C
ActiveJENNA K PROVANCE, PA-C is a Physician Assistant healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1699295626 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHEBOYGAN, WI
Registration Details
- NPI Number
- 1699295626
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2017 (9.1648639776924 yrs)
- Last Updated
- Dec 1, 2021
- License
-
4027-23 (WI)
Practice Information
- Address
-
2414 KOHLER MEMORIAL DRSHEBOYGAN, WI, 530813129Browse WI providers · Browse ZIP 53081
- Phone
- 9204574461
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SHEBOYGAN, WI
| Name | Credential | NPI |
|---|---|---|
| JEROME TIMOTHY MILLER | P.A. | 1629034798 |
| EMILY M COPPS | PA-C | 1114975372 |
| MS. DANELLE M PLENNES | PA-C | 1437106531 |
| JOCELYN A ACOMPANADO | PA-C | 1770521486 |
| MS. LINDEN J ENGELSMA | PA-C | 1699880716 |
| HEATHER R JAMES | P.A.-C | 1922114347 |
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.