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JACKLYN A KNOLL PA-C
NPI 1699087411
Physician Assistant - Medical in Wausau, WI

Active since July 09, 2010
500 WIND RIDGE DR, WAUSAU, WI 54401(715) 847-2611 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacklyn A Knoll Pa-c NPPES

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

JACKLYN A KNOLL PA-C (NPI 1699087411) is an individual medical provider in Wausau, Wisconsin, licensed in Wisconsin (2622-23) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1699087411
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJACKLYN A KNOLLCredential: PA-C
Location Address500 WIND RIDGE DRWausau, WI 54401-4173
Mailing Address500 Wind Ridge Dr.Wausau, WI 54401-4173 · (715) 847-2611 · Fax (715) 847-2612
Phone(715) 847-2611
Sole ProprietorNo
Enumeration DateJuly 9, 2010
Last NPPES UpdateJanuary 4, 2011
✔ NPI 1699087411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 2622-23
500 WIND RIDGE DR, Wausau, WI 54401
Open in Google Maps ↗

Other Names 1

Former Name (1)Jacklyn A Leick

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.

ASPIRUS MEDICAL GROUP, INC.
Internal Medicine (Cardiovascular Disease)
500 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 847-2611
MARGARET LOUISE HUJET PA-C
Physician Assistant
500 WIND RIDGE DR, WAUSAU
WAUSAU, WI 54401
Marathon County (715) 847-2611
AUSTIN GILBERT NURSE PRACTITIONER
Nurse Practitioner (Primary Care)
500 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 847-2611
KALI KANN MPAS PA-C
Physician Assistant
500 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 847-2611
DR. TIMOTHY N LOGEMANN MD
Internal Medicine (Cardiovascular Disease)
500 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 847-2611
MRS. MELISSA J WENDELL FNPC
Nurse Practitioner
500 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 847-2611
RONNIE ORLANDO ORTIZ MD
Internal Medicine (Clinical Cardiac Electrophysiology)
500 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 847-7611
MARCUS SUBLETTE M.D.
Internal Medicine (Interventional Cardiology)
500 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 847-2611

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 Jacklyn Knoll's NPI number?

The NPI number for Jacklyn Knoll is 1699087411. It was assigned to this individual provider in the NPPES registry on July 9, 2010. The provider is also known as Jacklyn A Leick.

Where is Jacklyn Knoll located?

Jacklyn Knoll practices at 500 Wind Ridge Dr, Wausau, WI 54401. The listed phone number is (715) 847-2611.

What is Jacklyn Knoll's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jacklyn Knoll was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.