JACLYN NICOLE RENTZ PA-C
NPI 1396421525
Physician Assistant in Orlando, FL

Q: What is Jaclyn Rentz's NPI number?

The NPI number for Jaclyn Rentz is 1396421525. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Q: What is Jaclyn Rentz'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 Jaclyn Rentz was last updated on June 22, 2023. 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.

Active since June 22, 2023

12612 CHALLENGER PKWY STE 365, ORLANDO, FL 32826(407) 306-8441 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jaclyn Nicole Rentz Pa-c NPPES

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

JACLYN NICOLE RENTZ PA-C (NPI 1396421525) is an individual physician assistant in Orlando, Florida, licensed in California (53580) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1396421525

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACLYN NICOLE RENTZCredential: PA-C

Location Address12612 CHALLENGER PKWY STE 365Orlando, FL 32826-2784

Mailing Address12845 Pinefield RdPoway, CA 92064-1501 · (951) 906-6093

Phone(407) 306-8441

Sole ProprietorYes

Enumeration DateJune 22, 2023

NPPES CertifiedJune 21, 2023

✔ NPI 1396421525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 53580

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.

12612 CHALLENGER PKWY STE 365, Orlando, FL 32826

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Other Providers at the Same Location NPPES 11

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

MR. IVAN VIVANCO ECHEVARRIA APRN

Nurse Practitioner (Family)