Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Paige Stukat Gren, PA-C

Individual provider Physician Assistant · NPI 1396185609

Jaclyn Paige Stukat Gren, PA-C is a Physician Assistant in New York, New York. Licensed in New York and Pennsylvania. Registered with an NPI since 2013.

Licensed in
NY, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

60 Wall St 34 Fl
New York, NY 10005-2836 Not confirmed with CMS for 10 years — call before visiting
Phone: (212) 250-7753
Fax: (212) 797-0808
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA053902 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 018631-1 (NY)

Record details

NPI number1396185609
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 1, 2013
Last updated in NPPESDecember 14, 2015

Other providers in New York