Individual
JACLYN M AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5535 NOBEL DR, FITCHBURG, WI 53711-4955
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2224-23
WI
Other
Enumeration date
12/27/2007
Last updated
10/09/2025
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