Individual provider · Type 1 NPI

Jennifer A. Landry, PA-C

Physician Assistant · Portland, ME

NPI number 1790740835 Active

Practice location

84 Marginal Way, Suite 700
Portland, ME 04101

Call (207) 774-5816 Map

Fax (207) 523-8597

Mailing address

100 Gannett Drive, Suite C
South Portland, ME 04106

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA177 (ME)

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 1790740835

Jennifer A. Landry, PA-C's National Provider Identifier is 1790740835, issued on Apr 20, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, ME. The record was last updated on Apr 9, 2026.