Whalio Doctors

NPI 1073801031

Jessica Reese, PAC

Practitioner Physician Assistant Casper, WY

Practice location

Address
1119 E 3rd St, Casper, WY 82601-2905
Phone
(307) 266-2772
Fax
(307) 266-2076
Mailing address
801 York St, Manitowoc, WI 54220-4630

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 526 (WY)

Registry record

NPI
1073801031
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Jul 2011
Record last updated
31 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.