Individual provider · Type 1 NPI

Marissa Anne Jennings, PA-C

Surgical Physician Assistant · Bronx, NY

NPI number 1851188932 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant Primary	363AS0400X	033743 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1851188932

Marissa Anne Jennings, PA-C's National Provider Identifier is 1851188932, issued on Apr 22, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Apr 22, 2025.