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

Jared Penner

Individual provider Family Medicine Physician · NPI 1376163790

Jared Penner is a Family Medicine Physician in FPO, Armed Forces Americas. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020

Practice location Incomplete address

The federal record is missing the street or ZIP for this provider.

Psc 1005 Box 11219
FPO, AA 34009
Phone: (757) 458-2944

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101276005 (VA)

Record details

NPI number1376163790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2020
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing addressPsc 1005, Box 11219, Fpo, AA 34009

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