IndividualActive
Jennifer Stanek, MS, PAC
NPI 1063412112 · Surgical Physician Assistant · Oak Park Heights, MN
Provider details
- NPI number
- 1063412112
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MS, PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 10090 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5803 Neal Ave N
Oak Park Heights, MN 55082-2177
Phone: (651) 439-8807
Approximate (ZIP-level) locationGet directions
Mailing address
5803 Neal Ave N
Oak Park Heights, MN 55082-2177
Registry dates
- Enumerated
- 2005-07-29
- Last updated
- 2015-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.