Active NPIIndividual provider

Jessica L Wolkun, PA-C

Physician Assistant, Medical in Maplewood, New Jersey

NPI Number1952656787
Practice location
264 Boyden Ave, Maplewood, NJ 07040-3070
Fax
—
Last updated
May 12, 2015

Jessica Leigh Wolkun is a Physician Assistant, Medical based in Maplewood, NJ. Jessica Leigh Wolkun practices in Maplewood, NJ and has the professional credentials of PA-C. The NPI Number for Jessica Leigh Wolkun is 1952656787 and holds a License No. 25MP00287300 (NJ). The current practice location address for Jessica Leigh Wolkun is 264 Boyden Ave, Maplewood, NJ 07040-3070 and can be reached out via phone at 973-761-0764.

Provider Profile Details

NPI Number
1952656787
Provider Name
Jessica Leigh Wolkun
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
264 Boyden Ave, Maplewood, NJ 07040-3070
Phone Number
973-761-0764
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2012
Last Update Date
May 12, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
264 Boyden Ave
Maplewood, NJ 07040-3070
Zip
07040-3070
Phone Number
973-761-0764
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
264 Boyden Ave
Maplewood, NJ 07040-3070
City
Maplewood
State
NJ
Zip
07040-3070
Phone Number
973-761-0764

License Information

License Number
25MP00287300
License State
NJ
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica L Wolkun, PA-C?

The NPI number of Jessica L Wolkun, PA-C is 1952656787. It was assigned on July 18, 2012 and is currently active in the NPPES registry.

What is the specialty of Jessica L Wolkun, PA-C?

Jessica L Wolkun, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00287300.

Where does Jessica L Wolkun, PA-C practice?

The practice location is 264 Boyden Ave, Maplewood, NJ 07040-3070. The office can be reached at 973-761-0764 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952656787 directly on the NPPES registry website.

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