Individual
JENNA SHORTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9401 SW DISCOVERY WAY STE 101, PORT SAINT LUCIE, FL 34987-2381
(772) 261-6824
Mailing address
7422 ASHLEY SHORES CIR, LAKE WORTH, FL 33467-7618
(561) 310-6274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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