Individual ProviderJennifer CorcoranPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address8915 W Connell Ave, Milwaukee, WI 53226-3067(414) 266-8427(952) 270-0841PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Corcoran does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1881454247Provider TypeIndividualFull NameCorcoran, JenniferCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date3/21/2024Last Updated3/21/2024Contact InformationPractice LocationPractice Address8915 W Connell Ave, Milwaukee, WI 53226-3067Phone(414) 266-8427FaxUnlisted FaxMailing LocationMailing Address4689 Parkwood Dr SE, Prior Lake, MN 55372-3358Phone(952) 270-0841FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense7754-23Wisconsin