Jenna J Mulder
Jenna J Mulder is a Physician Assistant in Shawano, Wisconsin. Qualified in 2020, 6 years ago. Practices with Surgical Associates of Neenah, SC, a 29-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 6
- Licensed in
- WI
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
100 County Road BShawano, WI 54166-7072
Phone: (715) 526-2111
Fax: (715) 526-9366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5218 (WI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1053929653 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 20, 2020 |
| Last updated in NPPES | March 22, 2021 |
| Certification date | March 22, 2021 |
| Mailing address | 3 Neenah Ctr Fl 5, Neenah, WI 54956-3070 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Surgical Associates Of Neenah, S.C. — 29 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Shawano
-
Dr. Amanda Born Bernath, MD
100 County Road B, Shawano, WI 54166-7072 · (715) 524-2161
-
Dr. David Richter, MD
100 County Road B, Shawano, WI 54166-7072 · (715) 526-6464
-
Dr. Heather Zimba, MD
100 County Road B, Shawano, WI 54166-7072 · (715) 524-2161