Individual
MS. JANE M. JENC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
425 ELM ST N, CENTRACARE HEALTH SYSTEM - SAUK CENTRE, SAUK CENTRE, MN 56378-1010
(320) 352-6591
(320) 352-5164
Mailing address
425 ELM ST N, CENTRACARE HEALTH SYSTEM - SAUK CENTRE, SAUK CENTRE, MN 56378-1010
(320) 352-6591
(320) 352-5164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9244
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73A62JE
BCBS
MN
01
—
970025632
RAILROAD MEDICARE
GA
05
—
989716000
—
MN
01
—
N003453
CHAMPUS
MN
Enumeration date
06/25/2006
Last updated
09/20/2013
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