JENNA RAE TEW


Address: 12902 Usf Magnolia Dr, Mcc Fa, Tampa, FL 33612-9416
Phone: 8137452710

JENNA RAE TEW (NPI# 1063796100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063796100
Entity Type Individual
Full Name JENNA RAE TEW
Credential PA-C
Practice Address 12902 Usf Magnolia Dr
Mcc Fa
Tampa
FL 33612-9416
Mailing Address 808 N Franklin St
Unit 3010
Tampa
FL 33602-3859
Practice Telephone 8137452710
Mailing Telephone 8134783706
Enumeration Date 2011-10-07
Last Update Date 2012-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9106196 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 004128200 05

Office Location

Street Address 12902 USF MAGNOLIA DR
MCC FA
City TAMPA
State FL
Zip Code 33612-9416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669475158 Jose Leonel Ochoa-bayona Internal Medicine 12902 Usf Magnolia Dr, Fob 3 Bmt, Tampa, FL 33612-9416 2005-05-27
1134735285 Edith Abraham Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-09-23
1134735442 Lindsay Garcia Dietitian, Registered 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-09-22
1972117026 Charsetta Denise Campbell Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-09-06
1083228480 Mary Thisbe Quilab Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-09-02
1336758788 Gabriella Anne Acosta Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-07-30
1861010670 Sidney Marie Resmondo Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-07-08
1912523481 Timothy Bondell Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-06-22
1891319075 Melanie Marie Fyfe Clinical Nurse Specialist 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-06-03
1780208876 Jacqueline Nicole Arrison Nurse Practitioner 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2020-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689286767 Daniel Jimenez Physical Therapist 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 2020-08-19
1700426830 Taz Stacy Behavior Technician 2701 University Square Drive, Tampa, FL 33612 2020-01-07
1841853215 Eric Austen Keeler Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 2019-04-20
1346700242 Caitlyn Victoria Cartwright Student in an Organized Health Care Education/Training Program 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 2019-03-25
1720552953 Marijo Bilitski Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 2019-01-22
1790259190 Belkis Aleman Nurse Practitioner 205 E Busch Blvd, Tampa, FL 33612 2019-01-18
1811469133 Stephanie Stegner Physician Assistant 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 2018-12-27
1053889857 Alysia Heather Siegel Psychologist 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 2018-11-09
1295202489 Daisy Baby Pulinilkumkalayil Nurse Practitioner 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 2018-10-26
1649745258 Rachel Rene Shelton Specialist/Technologist Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 2018-10-10
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336762046 Samantha Martin Physician Assistant 12950 Race Track Rd Ste 106, Tampa, FL 33626-1304 2020-05-28
1124648159 Christian Otero Physician Assistant 311 W Palm Ave, Tampa, FL 33602-2029 2020-04-20
1487219036 Vanessa Natasha White Physician Assistant 10205 W Hillsborough Ave Ste B, Tampa, FL 33615-3671 2019-05-08
1518520873 Zachary Luke Ulshafer Physician Assistant 12901 Bruce B Downs Blvd # 05, Tampa, FL 33612-4742 2019-04-22
1548756893 Christopher Jacob Bordelon Physician Assistant 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL 33607-6302 2018-07-10
1871033340 Amanda Lins Chissell Physician Assistant 13801 Bruce B Downs Blvd Ste 231, Tampa, FL 33613-3946 2017-03-03
1669839767 Barbara N Vargas Physician Assistant 12500 N Dale Mabry Hwy Ste A, Tampa, FL 33618-2809 2016-01-20
1215305776 Amber Lubas Physician Assistant 401 N Rome Ave, Apt: 4314, Tampa, FL 33606-0009 2015-09-14
1972988467 Karla Michelle Mincone Physician Assistant 3040 W Cypress St # 103, Tampa, FL 33609-1615 2015-07-25
1326441767 Brigett Brandjes Physician Assistant 2902 Usf Magnolia Drive, Tampa, FL 33612 2014-09-30
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Competitor

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City TAMPA
Zip Code 33612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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