Individual provider · Type 1 NPI

Jennifer R. Sunderland, PA-C

Physician Assistant · Decatur, IL

NPI number 1659475655 Active

Practice location

250 W Kenwood Ave
Decatur, IL 62526-4371

Call (217) 528-7541 Map

Mailing address

PO Box 19248
Springfield, IL 62794-9248

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X085003210 (IL)
Physician Assistant Primary 363A00000X085003210 (IL)

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 1659475655

Jennifer R. Sunderland, PA-C's National Provider Identifier is 1659475655, issued on Sep 11, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Decatur, IL. The record was last updated on Jun 25, 2025.