Jessica Nichole Bahr, PA-C
Physician Assistant in Oak Creek, WI. Individual provider (NPI-1).
NPI number1063767226
StatusActive
Last updated in NPPESJul 31, 2026
Details
- NPI
- 1063767226
- Entity type
- Individual (NPI-1)
- Name
- Jessica Nichole Bahr
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2012
- Certification date
- Jul 31, 2026
- Last updated
- Jul 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2985-23 | WI | Yes |
Other names
- Jessica N Grandlich (Former Name)
Practice location
7001 S Howell Ave Ste 900Oak Creek, WI 53154-1408
Phone 262-898-4400 · Fax 414-435-3406
Mailing address
801 York StManitowoc, WI 54220-4630
Phone 920-663-9008 · Fax 920-684-1439
Other practice locations
1320 Pabst Farms Cir Unit 180
Oconomowoc, WI 53066-4877
Oconomowoc, WI 53066-4877
Phone 262-560-0322 · Fax 262-560-0379
16455 W Bluemound Rd Ste 120
Brookfield, WI 53005-5921
Brookfield, WI 53005-5921
Phone 262-784-7820 · Fax 262-784-7936
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