Individual
ALYSSA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 E CAPITOL DR # 3700, APPLETON, WI 54911-8735
(920) 965-0345
Mailing address
2500 E CAPITOL DR # 3700, APPLETON, WI 54911-8735
(248) 761-2335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601012593
MI
363A00000X
Physician Assistant
64316
CA
363A00000X
Physician Assistant
Primary
8022-23
WI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/19/2022
Last updated
08/12/2024
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