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Individual
JENNIFER L FICK
Active
Individual
JENNIFER L FICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
748-023
WI
363A00000X
Physician Assistant
748-23
WI
363A00000X
Physician Assistant
Primary
PA9115186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123081400
—
FL
01
—
1932182177
BCBSWI
WI
05
—
1932182177
—
WI
05
—
42946900
—
WI
Enumeration date
11/22/2005
Last updated
09/22/2025
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