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

Jeanette L Lain, PA

Individual provider Physician Assistant · NPI 1871516351

Jeanette L Lain, PA is a Physician Assistant in Deland, Florida. Qualified in 2005, 21 years ago. Practices with Advanced Urology Institute LLC, a 149-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

685 Peachwood Dr
Deland, FL 32720-0804
Phone: (386) 736-3463
Fax: (386) 736-3492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9104131 (FL)

Record details

NPI number1871516351
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Advanced Urology Institute Llc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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