Individual
JENIECE KAYLA WERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2218 US HIGHWAY 27 N, TEKONSHA, MI 49092-9261
(517) 767-4038
Mailing address
2218 US HIGHWAY 27 N, TEKONSHA, MI 49092-9261
(517) 767-4038
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1173007
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2019
Last updated
01/08/2025
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