MS. JENNA R DYKSTRA NPI 1164004875

NPI Information

  • NPI: 1164004875
  • Provider Name: MS. JENNA R DYKSTRA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 21550 BISCAYNE BLVD STE 202A
    AVENTURA, FL
    ZIP 33180
  • Phone: (057) 070-3683

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NPI Details

MS. Jenna R Dykstra is a physician assistant in Aventura, FL. The provider is 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. MS. Jenna R Dykstra NPI is 1164004875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21550 BISCAYNE BLVD STE 202A
AVENTURA, FL
ZIP 33180-258
Phone: (057) 070-3683

The enumeration date for this NPI number is 4/22/2021 and was last updated on 2/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA9116691FLORIDAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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