Individual
JENNIFER ESTHER WEKENBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 E 5TH ST, FULTON, MO 65251-1793
(573) 592-2217
Mailing address
600 E 5TH ST, FULTON, MO 65251-1793
(573) 592-2217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019001383
MO
Other
Enumeration date
01/04/2019
Last updated
02/18/2022
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