Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenna Lee Nickerson

Individual provider Physician Assistant · NPI 1376465153

Jenna Lee Nickerson is a Physician Assistant in Worcester, Massachusetts. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

10 Lincoln Sq
Worcester, MA 01608-1135
Phone: (774) 210-0837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1376465153
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 26, 2026
Mailing address100 Hickory Rd, Wrentham, MA 02093-1075

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