SearchWisconsinPhysician Assistant

Jenna Mulder

NPI 1053929653 · on the registry since 2020

Practice

Address
100 County Road B
Shawano, WI 54166
Phone
(715) 526-2111
Fax
(715) 526-9366
Organisation at this address
Thedacare, Incorporated
Thedacare, Incorporated
Forefront Dermatology, S.C.
Valley Urologic Associates, Sc
Shopko Stores Operating Co., Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin