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Jennifer Laura Broadt, PA
Physician Assistant in Tieton, Washington
NPI 1962869776

Jennifer Laura Broadt is a Physician Assistant based in Yakima, WA. Jennifer Laura Broadt practices in Tieton, WA and has the professional credentials of PA. The NPI Number for Jennifer Laura Broadt is 1962869776 and holds a License No. PA60703623 (Washington).

The current practice location address for Jennifer Laura Broadt is 915 Wisconsin Ave, Tieton, WA and can be reached out via phone at 509-673-0044 and via fax at 509-673-0054.

Location: 915 Wisconsin Ave, Tieton, WA, 98902-3550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962869776
Provider Name
Jennifer Laura Broadt
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
915 Wisconsin Ave, Tieton, WA, 98902-3550
Phone Number
509-673-0044
Fax Number
509-673-0054
Provider Enumeration Date
01/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
354348001 05 TX
354348002 01 TX CSHCN MEDICAID
8860NU 01 TX SOLO BCBS
47272ZSJC 01 TX MEDICARE
P01610841 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
915 Wisconsin Ave
City
Tieton
State
Washington
Zip
98947-9802
Phone Number
509-673-0044
Fax Number
509-673-0054
person
Provider Business Mailing Address Details
Address
915 Wisconsin Ave
City
Tieton
State
Washington
Zip
98947-9802
Phone Number
509-673-0044
Fax Number
509-673-0054
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA60703623 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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