Jenna K Provance, PA-C
NPI #1699295626 in Sheboygan, Wisconsin
Provider Information
- NPI Number
- 1699295626
- Entity Type
- Individual
- Name
- Jenna K Provance, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 21, 2017
- Last Updated
- Dec 1, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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