Individual provider · Type 1 NPI

Jennifer Marie Wysong, MMS, PA-C

Physician Assistant · Goshen, IN

NPI number 1992103477 Active

Practice location

1111 Lighthouse Ln
Goshen, IN 46526-3824

Call (574) 533-0348 Map

Fax (574) 533-0277

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000X085.005306 (IL)
Physician Assistant Primary 363A00000X10003507A (IN)

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 1992103477

Jennifer Marie Wysong, MMS, PA-C's National Provider Identifier is 1992103477, issued on Dec 15, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Goshen, IN. The record was last updated on Aug 30, 2023.