Individual provider · Type 1 NPI

Jennifer Marie Wade, PA-C

Physician Assistant · Fort Lauderdale, FL

NPI number 1134477490 Active

Practice location

4800 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-4611

Call (954) 688-7269 Map

Mailing address

110 E Pigeon Plum Dr Apt 108
Jupiter, FL 33458-7867

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9115997 (FL)
Physician Assistant 363A00000X015862 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134477490

Jennifer Marie Wade, PA-C's National Provider Identifier is 1134477490, issued on Aug 16, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jun 24, 2026.