Individual provider · Type 1 NPI

Jenna M. Mineau, PA

Physician Assistant · Greenfield, WI

NPI number 1124689666 Active

Practice location

9000 W Sura Ln
Greenfield, WI 53228-3477

Call (414) 647-3146 Map

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4707-23 (WI)

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 1124689666

Jenna M. Mineau, PA's National Provider Identifier is 1124689666, issued on Jun 25, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Greenfield, WI. The record was last updated on Oct 13, 2025.