Individual
JENNIFER PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 SOUTH DRIVE, OSHKOSH, WI 54985
(920) 235-4910
Mailing address
1300 SOUTH DRIVE, OSHKOSH, WI 54985
(920) 235-4910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056833
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019525600
—
WI
01
—
ID867Y
MEDICARE
—
01
—
Y0RK8
BCBS
—
Enumeration date
08/25/2014
Last updated
06/20/2023
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