Jenna Provance, PA-C
NPI 1699295626 · Physician Assistant · Sheboygan, WI
Jenna Provance, PA-C is a Physician Assistant provider in Sheboygan, WI (NPI 1699295626).
Provider details
- NPI number
- 1699295626
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 4027-23 (WI)
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.