MRS. Jacqueline K Edwards, PA-C

NPI #1225322126 in New Berlin, Wisconsin

Provider Information

NPI Number: 1225322126
Entity Type: Individual
Name: MRS. Jacqueline K Edwards, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 8, 2011
Last Updated: Dec 14, 2020

Practice Location

Address: 16505 W NATIONAL AVE
City: New Berlin
State: Wisconsin
ZIP Code: 53151-5513
Phone: (262) 641-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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