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

MRS. JENNIFER MARIE WYSONG, MMS, PA-C

Active

Physician Assistant · GOSHEN, IN

Registration Details

NPI Number
1992103477
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2014 (11.362178360649 yrs)
Last Updated
Aug 30, 2023
Licenses
085.005306 (IL)
10003507A (IN)

Practice Information

Address
1111 LIGHTHOUSE LN
GOSHEN, IN, 465263824
Browse IN providers · Browse ZIP 46526
Phone
5745330348
Fax
5745330277
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in GOSHEN, IN

Name Credential NPI
CASILDA CABRAL CHENIER PA 1124258124
KRISTINA M JACKOWIAK PA-C 1043551401
JONATHAN NEWHALL PA-C 1598247769
DEVON LEE LOSCH PA-C 1144885013
LEAH CHRSITINE SHETLER PHYSICIAN ASSISTANT 1619590171
JACOB JOHNSTON NOLAN PA-C 1689275000
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.