Individual provider · Type 1 NPI

Jenna Nichols, PA-C

Medical Physician Assistant · La Crosse, WI

NPI number 1972437564 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Call (608) 782-7300 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X8951 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1972437564

Jenna Nichols, PA-C's National Provider Identifier is 1972437564, issued on Jun 10, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Crosse, WI. The record was last updated on Jun 10, 2026.