# WENDONG JIANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528012796
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10000481A | IN | Yes |
| 363AM0700X | Medical Physician Assistant | 10000481A | IN | — |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 10/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000506740 | BC/BS PIN | IN |
| 01 | — | 000000675323 | ANTHEM PTAN | IN |
| 01 | — | 000001305107 | ANTHEM PTAN | IN |
| 01 | — | 000001482206 | ANTHEM PTAN | IN |
| 05 | — | 200856130 | — | IN |
| 01 | — | DF5450 | RAILROAD GROUP | — |