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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JENNA LEE NICKERSON
NPI 1376465153
Physician Assistant in Worcester, MA

Active since July 27, 2026
10 LINCOLN SQ, WORCESTER, MA 01608(774) 210-0837 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenna Lee Nickerson NPPES

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

JENNA LEE NICKERSON (NPI 1376465153) is an individual physician assistant in Worcester, Massachusetts and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1376465153
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA LEE NICKERSON
Location Address10 LINCOLN SQWorcester, MA 01608-1135
Mailing Address100 Hickory RdWrentham, MA 02093-1075
Phone(774) 210-0837
Sole ProprietorNo
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 26, 2026
✔ NPI 1376465153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
10 LINCOLN SQ, Worcester, MA 01608
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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.

CHLOE CHAPDELAINE
Student in an Organized Health Care Education/Training Program
10 LINCOLN SQ
WORCESTER, MA 01608
Worcester County (508) 373-5607
ALLISON DEVIVO
Student in an Organized Health Care Education/Training Program
10 LINCOLN SQ
WORCESTER, MA 01608
Worcester County (508) 373-5607
CHUKWUEMEKA C NWANZE M.D.
Ophthalmology
10 LINCOLN SQ
WORCESTER, MA 01608
Worcester County (508) 373-5830
MRS. LINA W. SAAKA-SEREBOUR
Student in an Organized Health Care Education/Training Program
10 LINCOLN SQ
WORCESTER, MA 01608
Worcester County (860) 794-1899
KATHRYN W DELISO OD
Optometrist
10 LINCOLN SQ
WORCESTER, MA 01608
Worcester County (508) 373-5830
ISABELLA LANCISI
Physician Assistant
10 LINCOLN SQ
WORCESTER, MA 01608
Worcester County (508) 373-5607
NICKOLAS POLIZIO FLORENCA
Physician Assistant
10 LINCOLN SQ
WORCESTER, MA 01608
Worcester County (508) 890-8855
DR. JESSICA S WALTER OD
Optometrist
10 LINCOLN SQ
WORCESTER, MA 01608
Worcester County (508) 373-5830

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 Jenna Nickerson's NPI number?

The NPI number for Jenna Nickerson is 1376465153. It was assigned to this individual provider in the NPPES registry on July 27, 2026.

Where is Jenna Nickerson located?

Jenna Nickerson practices at 10 Lincoln Sq, Worcester, MA 01608. The listed phone number is (774) 210-0837.

What is Jenna Nickerson'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 Jenna Nickerson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.