Individual provider · Type 1 NPI

Jenna Lynn Moscherosch, MS PAC

Physician Assistant · Wyoming, MN

NPI number 1356653760 Active

Practice location

5200 Fairview Blvd
Wyoming, MN 55092-8013

Call (651) 982-7000 Map

Mailing address

1700 University Ave W
St. Paul, MN 55104-3727

Other practice locations

  • 5701 Bow Pointe Dr, Suite 100, Clarkston, MI 48346-3198 · (248) 625-2621
  • 5366 386th St NE, North Branch, MN 55056-5833 · (651) 674-8353
  • 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 · (952) 853-8800

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X11785 (MN)
Medical Physician Assistant 363AM0700X5601005802 (MI)
Medical Physician Assistant 363AM0700X11785 (MN)

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 1356653760

Jenna Lynn Moscherosch, MS PAC's National Provider Identifier is 1356653760, issued on Jul 14, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wyoming, MN. The record was last updated on Sep 14, 2026.