# JENNY SUH WONG

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

## Provider details

- **NPI number:** 1881843142
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 002122 | CT | — |
| 363A00000X | Physician Assistant | PA08414 | TX | Yes |
| 363AS0400X | Surgical Physician Assistant | 013473-1 | NY | — |
| 363AS0400X | Surgical Physician Assistant | PA08414 | TX | — |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 05/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 002122 | CT LICENSE | CT |
| 05 | — | 323911303 | — | TX |
| 05 | — | 323911304 | — | TX |
| 01 | — | 8583NP | BCBS | TX |
| 01 | — | 8765NY | BCBS | TX |