Individual
JENNA RAE TEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
P O BOX 198441 UNIT 3010, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106196
FL
363AM0700X
Medical Physician Assistant
PA9106196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004128200
—
FL
Enumeration date
10/07/2011
Last updated
03/10/2025
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