National Provider Identifier

Jenna Wilkens

Jenna Wilkens is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Montour Falls, NY and a listed phone number of (607) 535-7154.

NPI 1336543297Montour Falls, NYMedical Physician Assistant

Profile Overview

NPI
1336543297
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
October 21, 2014
Last Updated
October 21, 2014

Practice Location

  • 220 Steuben St
  • Montour Falls, NY 14865-9740

Phone: (607) 535-7154

Mailing Address

  • 4085 Ball Diamond RD
  • Hector, NY 14841-9630

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1336543297
Entity Type
Individual
Last Name
Wilkens
First Name
Jenna
Mailing Street Address
4085 Ball Diamond RD
Mailing City
Hector
Mailing State
NY
Mailing ZIP Code
14841-9630
Mailing Country
US
Mailing Phone
(607) 215-6637
Practice Street Address
220 Steuben St
Practice City
Montour Falls
Practice State
NY
Practice ZIP Code
14865-9740
Practice Country
US
Practice Phone
(607) 535-7154
Enumeration Date
October 21, 2014
Last Updated
October 21, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)