NPI 1083644082

Jennifer D. Roell, PA

Practitioner Physician Assistant Menomonee Falls, WI

Practice location

Address: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810
Phone: (262) 251-7500
Fax: (262) 251-7128
Mailing address: PO Box 375044, Chicago, IL 60673-0001

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1071 (WI)

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Registry record

NPI: 1083644082
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jul 2006
Record last updated: 16 Jul 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.