Individual provider · Type 1 NPI

Jenna Niccolls

Physician Assistant · Waterloo, IA

NPI number 1871120469 Active

Practice location

2515 Cyclone Dr Ste B
Waterloo, IA 50701-9715

Call (319) 888-8044 Map

Fax (319) 349-8402

Other practice locations

  • 515 College St Ste 2800, Cedar Falls, IA 50613-2500 · (319) 268-3990

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X105061 (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 1871120469

Jenna Niccolls's National Provider Identifier is 1871120469, issued on Mar 24, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waterloo, IA. The record was last updated on Sep 11, 2025.