Individual provider · Type 1 NPI

Jennifer Scidmore, PA-C

Physician Assistant · Racine, WI

NPI number 1033583190 Active

Practice location

3801 Spring St
Racine, WI 53405

Mailing address

3760 N Fremont St
Chicago, IL 60613-3927

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X3698-23 (WI)
Nurse Practitioner 363L00000X3698-23 (WI)
Physician Assistant Primary 363A00000X54369 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033583190

Jennifer Scidmore, PA-C's National Provider Identifier is 1033583190, issued on Nov 30, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Racine, WI. The record was last updated on Jun 26, 2021.