Individual provider · Type 1 NPI

Jenna Robidou, PA

Physician Assistant · St. Clair Shores, MI

NPI number 1972898211 Active

Practice location

23715 Little Mack Ave Ste 100
St. Clair Shores, MI 48080-1181

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601005990 (MI)

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 1972898211

Jenna Robidou, PA's National Provider Identifier is 1972898211, issued on Jun 15, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Aug 26, 2026.