Individual provider · Type 1 NPI
Jalyssa Rae Bennett, PA
Physician Assistant · Fort Wayne, IN
Practice location
2200 Randallia Dr Apt 3
Fort Wayne, IN 46805-4638
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
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 1952200685
Jalyssa Rae Bennett, PA's National Provider Identifier is 1952200685, issued on Oct 31, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 31, 2026.