Jennifer L. Broadt, PA
Physician Assistant · Tieton, WA
UnclaimedPANPI 1962869776
- Primary taxonomy
- 363A00000X
- Enumerated
- 2016-01-25
- Practice location
- Tieton, WA
- Last NPPES update
- 2026-10-19
State licenses
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Physician Assistant LicenseActivethrough 2028
“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.