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JENNIFER MARIE PENA PA
NPI 1093341919
Physician Assistant in Tacoma, WA

Active since March 23, 2020
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2252 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2022, Nov 1, 2021, Apr 3, 2020 and 1 more (4 updates tracked since 2020).

About Jennifer Marie Pena Pa NPPES

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

JENNIFER MARIE PENA PA (NPI 1093341919) is an individual physician assistant in Tacoma, Washington and active in the NPI registry since March 2020. She maintains a secondary practice location in Fort Hood.

NPPES Registry Identity

NPI1093341919
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER MARIE PENACredential: PA
Location Address9040 JACKSON AVETacoma, WA 98431-5102
Mailing Address9040 Jackson AceTacoma, WA 98431-0001 · (253) 968-2252
Phone(253) 968-2252
Sole ProprietorNo
Enumeration DateMarch 23, 2020
Last NPPES UpdateNovember 3, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1093341919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
9040 JACKSON AVE, Tacoma, WA 98431
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Other Names 1

Former Name (1)Jennifer Marie Clark

Secondary Practice Location 1

Location 136000 Darnall LoopFort Hood, TX 76544-5095 · Phone (254) 288-8000

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.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Pena's NPI number?

The NPI number for Jennifer Pena is 1093341919. It was assigned to this individual provider in the NPPES registry on March 23, 2020. The provider is also known as Jennifer Marie Clark.

Where is Jennifer Pena located?

Jennifer Pena practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2252.

What is Jennifer Pena's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Pena was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.