Individual provider · Type 1 NPI

Jenna Lee Nickerson

Physician Assistant · Worcester, MA

NPI number 1376465153 Active

Practice location

10 Lincoln Sq
Worcester, MA 01608-1135

Call (774) 210-0837 Map

Mailing address

100 Hickory Rd
Wrentham, MA 02093-1075

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1376465153

Jenna Lee Nickerson's National Provider Identifier is 1376465153, issued on Jul 27, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Worcester, MA. The record was last updated on Jul 27, 2026.