Individual provider · Type 1 NPI
Jeanne Waalen, PHYSICIAN ASSISTANT
Physician Assistant · Fargo, ND
Practice location
4200 Woodhaven St SW
Fargo, ND 58104-3946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PAC 0260 (ND) |
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 1700826369
Jeanne Waalen, PHYSICIAN ASSISTANT's National Provider Identifier is 1700826369, issued on Jun 8, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fargo, ND. The record was last updated on Jul 13, 2026.