JENNIFER RENEE WREN PA-C NPI 1407839616

NPI Information

  • NPI: 1407839616
  • Provider Name: JENNIFER RENEE WREN, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 1820 BARRS ST
    SUITE 701
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 421-5586

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NPI Details

Jennifer Renee Wren, PA-C is a surgical physician assistant in Jacksonville, FL. Jennifer Renee Wren, PA-C NPI is 1407839616. 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:

1820 BARRS ST
SUITE 701
JACKSONVILLE, FL
ZIP 32204-742
Phone: (904) 421-5586
Fax: (904) 389-6748

The enumeration date for this NPI number is 11/22/2005 and was last updated on 7/9/2007.

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
1363AS0400XPhysician AssistantSurgicalPA9103522FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U6637ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDAPROVIDER NUMBER
2Q60415MEDICARE UPINFLORIDA

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: 3/30/2025

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