MS. JENNIFER MARIE EDWARDS PA-C NPI 1477614089

NPI Information

  • NPI: 1477614089
  • Provider Name: MS. JENNIFER MARIE EDWARDS, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 4425 SOUTH CENTRAL AVE.
    LOS ANGELES, CA
    ZIP 90009
  • Phone: (323) 908-4200

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NPI Details

MS. Jennifer Marie Edwards, PA-C is a medical physician assistant in Los Angeles, CA. MS. Jennifer Marie Edwards, PA-C NPI is 1477614089. 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:

4425 SOUTH CENTRAL AVE.
LOS ANGELES, CA
ZIP 90009-694
Phone: (323) 908-4200
Fax: (323) 908-4262

The enumeration date for this NPI number is 12/13/2006 and was last updated on 1/12/2011.

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
1363AM0700XPhysician AssistantMedicalPA14956CALIFORNIAYes

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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