Individual provider · Type 1 NPI

Jennifer Laura Broadt, PA

Physician Assistant · Tieton, WA

NPI number 1962869776 Active

Practice location

915 Wisconsin Ave
Tieton, WA 98947-9802

Fax (509) 673-0054

Mailing address

210 S 11th Ave Ste 42
Yakima, WA 98902-3221

Other practice locations

  • 210 S 11th Ave Ste 42, Yakima, WA 98902-3221 · (509) 316-2003

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA60703623 (WA)
Physician Assistant 363A00000XNone listed

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…

2 other providers at this address

About NPI 1962869776

Jennifer Laura Broadt, PA's National Provider Identifier is 1962869776, issued on Jan 25, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tieton, WA. The record was last updated on Oct 19, 2026.