Individual provider · Type 1 NPI

Jenna K. Provance, PA-C

Physician Assistant · Sheboygan, WI

NPI number 1699295626 Active

Practice location

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129

Call (920) 457-4461 Map

Mailing address

2414 W Kohler Memorial Dr
Sheboygan, WI 53081

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4027-23 (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 1699295626

Jenna K. Provance, PA-C's National Provider Identifier is 1699295626, issued on Jun 21, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sheboygan, WI. The record was last updated on Dec 1, 2021.