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

Mrs. Jennifer Marie Wysong, MMS, PA-C

Individual provider Physician Assistant · NPI 1992103477

Mrs. Jennifer Marie Wysong, MMS, PA-C is a Physician Assistant in Goshen, Indiana. Licensed in Illinois and Indiana. Registered with an NPI since 2014.

Licensed in
IL, IN
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1111 Lighthouse Ln
Goshen, IN 46526-3824
Phone: (574) 533-0348
Fax: (574) 533-0277
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003507A (IN)
Physician Assistant Taxonomy 363A00000X (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085.005306 (IL)

Record details

NPI number1992103477
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedDecember 15, 2014
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023

Other providers in Goshen