Provider Demographics
NPI:1356542880
Name:FRANTZ, JESSICA L (PA-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:1447 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4727
Mailing Address - Country:US
Mailing Address - Phone:989-792-1895
Mailing Address - Fax:989-792-2235
Practice Address - Street 1:3037 SILVERWOOD DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2171
Practice Address - Country:US
Practice Address - Phone:989-792-1895
Practice Address - Fax:989-792-2235
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2014-06-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601005005363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant