Individual
JESSICA GAFFANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 PINE RIDGE BLVD, EMERGENCY DEPT, WAUSAU, WI 54401-4120
(715) 847-2121
Mailing address
1906 EAGLE VALLEY LN, WAUSAU, WI 54403-8115
(608) 215-6971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
317523
WI
363AM0700X
Medical Physician Assistant
317523
WI
Other
Enumeration date
07/15/2013
Last updated
01/15/2024
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