Jenna Niccolls

Physician Assistant · Waterloo, IA

Individual Active NPI

NPI number 1871120469

Practice location

2515 Cyclone Dr Ste B
Waterloo, IA 50701-9715
Phone
(319) 888-8044
Fax
(319) 349-8402

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NPI record

NPI
1871120469
Entity type
Individual (Type 1)
Enumeration date
March 24, 2020
Last updated
September 11, 2025
Certified
September 11, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 105061 IA

Other practice locations (1)

  • 515 College St Ste 2800, Cedar Falls, IA 50613-2500 · (319) 268-3990

About Jenna Niccolls

Jenna Niccolls is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2515 Cyclone Dr Ste B, Waterloo, IA 50701-9715. The NPI number 1871120469 was assigned on March 24, 2020 and the record was last updated on September 11, 2025.

Jenna Niccolls lists a license in the registry: #105061 (IA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jenna Niccolls?

The NPI number is 1871120469.

What is the phone number of Jenna Niccolls?

The phone number listed for the practice location is (319) 888-8044.

Where is Jenna Niccolls located?

2515 Cyclone Dr Ste B, Waterloo, IA 50701-9715.

What is the taxonomy code for Jenna Niccolls?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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