Fick, Jennifer L

Fick, Jennifer L is an individual health care provider with primary practice located at 2276 Green Valley St , Daytona Beach FL 32124-3055. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fick, Jennifer L can be contacted via phone (715) 558-3510.

Contact Information

Primary practice address
2276 Green Valley St Daytona Beach FL 32124-3055
Phone: (715) 558-3510
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 748-23 Wisconsin
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 748-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9115186 Florida

Profile Details

NPI number 1932182177
LBN Legal business name Fick, Jennifer L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Sep 22nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932182177 NPPES
Wisconsin MEDICAID 42946900
Wisconsin Other 1932182177
Wisconsin MEDICAID 1932182177
Wisconsin MEDICAID 123081400

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