Individual
JESSICA LATRICE MCCASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2976
Mailing address
242 KING AVENUE, SUITE 130, ATHENS, GA 30606
(706) 475-1870
(706) 475-1879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006737
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407199474
—
WI
Enumeration date
03/28/2013
Last updated
12/10/2020
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