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Individual
JENNA JANINE STEPHENS
Active
Individual
JENNA JANINE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3123
KY
363A00000X
Physician Assistant
Primary
TC259
KY
363AM0700X
Medical Physician Assistant
TC259
KY
363AS0400X
Surgical Physician Assistant
TC259
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100842150
—
KY
Enumeration date
02/07/2022
Last updated
09/21/2026
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