Jenna Niccolls
Physician Assistant · Waterloo, IA
UnclaimedNPI 1871120469
- Primary taxonomy
- 363A00000X
- Enumerated
- 2020-03-24
- Practice location
- Waterloo, IA
- Last NPPES update
- 2025-09-11
State licenses
- IA · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.