Individual provider · Type 1 NPI

Jaclyn Paige Stukat Gren, PA-C

Physician Assistant · New York, NY

NPI number 1396185609 Active

Practice location

60 Wall St, 34 Floor
New York, NY 10005-2836

Fax (212) 797-0808

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA053902 (PA)
Physician Assistant 363A00000X018631-1 (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 1396185609

Jaclyn Paige Stukat Gren, PA-C's National Provider Identifier is 1396185609, issued on Jul 1, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Dec 14, 2015.