Individual
JAYNE R PENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 FAIRFAX AVE, SUITE 445, NORFOLK, VA 23507-1914
(757) 446-8920
(757) 446-5242
Mailing address
PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 23501-0936
(757) 446-8920
(757) 446-5242
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003827
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10120878P
OPTIMA HEALTH
VA
05
—
1578825105
—
NC
05
—
1578825105
—
VA
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
06/11/2012
Last updated
06/10/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us