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

Jennica Long

Individual provider Physician Assistant · NPI 1235951328

Jennica Long is a Physician Assistant in Owosso, Michigan. Qualified in 2024, 2 years ago. Practices with Memorial Hospital, a 206-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024

Practice location Address checks out

818 W King St Ste 101
Owosso, MI 48867-2159
Phone: (989) 725-8171
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012849 (MI)

Record details

NPI number1235951328
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 8, 2024
Mailing address818 W King St Ste 101, Owosso, MI 48867-2159

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Memorial Hospital — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Owosso