Individual provider · Type 1 NPI

Jessica G. Wageman, PA-C

Physician Assistant · St. Louis Park, MN

NPI number 1770816225 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426-4702

Call (952) 993-3246 Map

Fax (952) 993-3010

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10903 (MN)
Physician Assistant 363A00000X002025 (IA)

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 1770816225

Jessica G. Wageman, PA-C's National Provider Identifier is 1770816225, issued on Sep 16, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Dec 10, 2018.