Individual provider · Type 1 NPI
Jesse Elizabeth Childs, PA-C
Medical Physician Assistant · Winnebago, WI
NPI number
1104289099
Active
Practice location
1300 South Drive
Winnebago, WI 54985-5498
Mailing address
12345 Mercy Blvd
Saavannah, GA 31419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 7598 (GA) |
Medical Physician Assistant: Definition to come...
19 other providers at this address
- Winnebago Mental Health InstitutePsychiatric Hospital Winnebago, WI NPI 1164516506
- Alejandro A. Eisma, MDInternal Medicine Physician Winnebago, WI NPI 1225026990
- Alexander M. Scharko, MDPsychiatry Physician Winnebago, WI NPI 1437102811
- Anthony M. Lichtfuss, LCSWClinical Social Worker Winnebago, WI NPI 1669627089
- Christine N. Carriere, APNPNurse Practitioner Winnebago, WI NPI 1548630320
- Clifford K. Stephens, PhDClinical Psychologist Winnebago, WI NPI 1255451688
- Eric Monticello, APRN, CNPPsychiatry Physician Winnebago, WI NPI 1558816306
- Jacob Strange, PA-CPhysician Assistant Winnebago, WI NPI 1316396633
- Jennifer Parnell, PA-CPhysician Assistant Oshkosh, WI NPI 1265832497
- Jeremiah Lee Olson, CSAC, ICSAddiction (Substance Use Disorder) Counselor Winnebago, WI NPI 1952455800
- Kaye Zwiacher, MDPsychiatry Physician Winnebago, WI NPI 1992028948
- Kent M. Berney, PhDPsychologist Winnebago, WI NPI 1962626317
About NPI 1104289099
Jesse Elizabeth Childs, PA-C's National Provider Identifier is 1104289099, issued on Mar 30, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winnebago, WI. The record was last updated on Jul 5, 2023.