JENNA GRACE TANCREDI
NPI 1043971914
Physician Assistant in Dallas, TX

Q: What is Jenna Tancredi's NPI number?

The NPI number for Jenna Tancredi is 1043971914. It was assigned to this individual provider in the NPPES registry on January 4, 2022.

Q: What is Jenna Tancredi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Tancredi was last updated on November 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 04, 2022

1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(954) 262-1250 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 22, 2023, Jan 4, 2022 (2 updates tracked since 2022).

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About Jenna Grace Tancredi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA GRACE TANCREDI (NPI 1043971914) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA17348) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1043971914

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNA GRACE TANCREDI

Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701

Mailing Address3015 State St Apt 846Dallas, TX 75204-2773 · (610) 609-9549

Phone(954) 262-1250

Sole ProprietorNo

Enumeration DateJanuary 4, 2022

Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration

NPPES CertifiedNovember 28, 2023

✔ NPI 1043971914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA17348

Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License PA17348 (TX)

1935 MEDICAL DISTRICT DR, Dallas, TX 75235

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LYNN LLOYD MD

Pediatrics (Pediatric Critical Care Medicine)

1935 MEDICAL DISTRICT DR, CHILDREN'S MEDICAL CENTER DALLAS - HOSPITALIST DIVISION
DALLAS, TX 75235

Dallas County (214) 456-5743

MR. JOE DON CAVENDER RN, CPNP

Nurse Practitioner (Pediatrics)