Provider / Organization | NPI | Date Certified |
---|---|---|
JEAN WILKENS SAINRISTIL | 1912658493 | 2022-01-15 |
Jean Wilkens Sainristil is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912658493. Registration indicates Jean Wilkens Sainristil is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
Entity Type | Individual |
Provider Name | Jean Wilkens Sainristil |
Practice Office Address | 63 CHATHAM WEST DR BROCKTON, MA US |
Practice Office Telephone | 6173887243 |
Mailing Address | 63 CHATHAM WEST DR BROCKTON, MA 023011310 US |
Business Telephone | 6173887243 |
Code | Practice | License No State |
---|---|---|
363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 1160-P.A.
PR |