Search › Indiana › 363A00000X
Jennifer Wysong, MMS, PA-C
NPI 1992103477 · on the registry since 2014
Practice
- Address
- 1111 Lighthouse Ln
Goshen, IN 46526 - Phone
- (574) 533-0348
- Fax
- (574) 533-0277
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-30
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 Indiana