Jacqueline Nicole Wiand, PA-C

NPI #1881023190 in Mansfield, Pennsylvania

Provider Information

NPI Number: 1881023190
Entity Type: Individual
Name: Jacqueline Nicole Wiand, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 6, 2013
Last Updated: Jul 14, 2023

Practice Location

Address: 40 W WELLSBORO ST
City: Mansfield
State: Pennsylvania
ZIP Code: 16933-1411
Phone: (570) 662-1945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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