MARISSA ROBIN JENNINGS PA-C NPI 1245979095

NPI Information

NPI: 1245979095
Provider Name: MARISSA ROBIN JENNINGS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
808 W 58TH ST
LOS ANGELES, CA
ZIP 90037
Phone: (323) 541-1600
Get Directions

Marissa Robin Jennings, PA-C is a medical physician assistant in Los Angeles, CA with 2 years of experience. Marissa Robin Jennings, PA-C NPI is 1245979095. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

808 W 58TH ST
LOS ANGELES, CA
ZIP 90037-632
Phone: (323) 541-1600

The NPI 1245979095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2022 and was last updated on 6/21/2023.

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
1	363AM0700X	Physician Assistant	Medical	4517	SOUTH CAROLINA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	363AM0700X	Physician Assistant	Medical	62675	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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