MS. LEEANN WICKENS P.A.
NPI 1003174533
Physician Assistant in Clinton Twp, MI

Active since May 03, 2012
15855 19 MILE RD, CLINTON TWP, MI 48038(586) 203-1940 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Leeann Wickens P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LEEANN WICKENS P.A. (NPI 1003174533) is an individual physician assistant in Clinton Twp, Michigan, licensed in Michigan (5601001022) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1003174533
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LEEANN WICKENSCredential: P.A.
Location Address15855 19 MILE RDClinton Twp, MI 48038-3504
Mailing Address15855 19 Mile RdClinton Twp, MI 48038-3504 · (586) 203-1940
Sole ProprietorYes
Enumeration DateMay 3, 2012
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 9, 2021
NPI 1003174533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601001022
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15855 19 MILE RD, Clinton Twp, MI 48038

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Clinical Nurse Specialist (Adult Health)
15855 19 MILE RD
CLINTON TWP, MI 48038

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leeann Wickens's NPI number?

The NPI number for Leeann Wickens is 1003174533. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Leeann Wickens located?

Leeann Wickens practices at 15855 19 Mile Rd, Clinton Twp, MI 48038. The listed phone number is (586) 203-1940.

What is Leeann Wickens's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Leeann Wickens was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.