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NPI Code Detail

MEDICARE: JOCELYN A ACOMPANADO PA-C

MEDICARE: JOCELYN A ACOMPANADO PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1237-023WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770521486
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN A ACOMPANADO PA-C
Provider Business Mailing Address
First Line : 3301 W FOREST HOME AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-2843
Country : US
Telephone Number : 441-438-9237
Fax Number :
Provider Business Practice Location Address
First Line : 2629 N 7TH ST
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53083-4932
Country : US
Telephone Number : 920-451-5000
Fax Number : 920-451-5333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 11/18/2021

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Directions to “ JOCELYN A ACOMPANADO PA-C” Practice Location

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