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

Jennifer Black, PAC

Individual provider Physician Assistant · NPI 1164462792

Jennifer Black, PAC is a Physician Assistant in Merrill, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

601 S Center Ave
Merrill, WI 54452-3404
Phone: (715) 536-5511
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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 1910 (WI)

Record details

NPI number1164462792
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESApril 20, 2017
Mailing address411 Westwood Dr, Wausau, WI 54401-4152

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