Jennifer Lee Wetteland in Mchenry - Physician Assistant
Jennifer Lee Wetteland - NPI 1396804282
Jennifer Lee Wetteland is a Physician Assistant in Mchenry, Illinois. Jennifer Lee Wetteland practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Lee Wetteland is 1396804282. The last update date is 2007-07-08.
Jennifer Lee Wetteland's current location address is 4805 Prime Pkwy, Mchenry, Illinois. You can contact this provider via phone number 8153639500 and fax number 8153639696. The mailing address for Jennifer Lee Wetteland is 4805 Prime Pkwy, Mchenry, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lee Wetteland |
|---|---|
| Address | 4805 Prime Pkwy, Mchenry, Illinois |
| Phone Number | 8153639500 |
| Fax Number | 8153639696 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1396804282 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4805 Prime Pkwy |
|---|---|
| City | Mchenry |
| State | Illinois (IL) |
| Post Code | 600507002 |
| Phone Number | 8153639500 |
| Fax Number | 8153639696 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: 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 perfor |
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Post Comment/ Review Below
Could you share the physical location details of Jennifer Lee Wetteland?
The Jennifer Lee Wetteland is situated at 4805 Prime Pkwy, in the city of Mchenry, state of IL, with the zip code 600507002.
What is Jennifer Lee Wetteland's area of expertise and its corresponding taxonomy classification?
The Jennifer Lee Wetteland's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
What is Jennifer Lee Wetteland's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer Lee Wetteland is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396804282 to Jennifer Lee Wetteland?
The Centers for Medicare & Medicaid Services originally issued the 1396804282 to Jennifer Lee Wetteland on 2006-12-06.
When was the information regarding Jennifer Lee Wetteland, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jennifer Lee Wetteland, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.