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

MS. Jeanne Waalen, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1700826369

MS. Jeanne Waalen, PHYSICIANASSISTANT is a Physician Assistant in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2006.

Licensed in
ND
In the registry since
2006

Practice location Address checks out

4200 Woodhaven St SW
Fargo, ND 58104-3946
Phone: (701) 364-3666
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC 0260 (ND)

Record details

NPI number1700826369
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESJuly 13, 2026

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