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

Jenna Lawrey, PA-C

Individual provider Physician Assistant · NPI 1679203988

Jenna Lawrey, PA-C is a Physician Assistant in Coeur D Alene, Idaho. Qualified in 2023, 3 years ago. Licensed in Idaho and Washington.

Years since qualifying
3
Licensed in
ID, WA
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2426 N Merritt Creek Loop Ste A
Coeur D Alene, ID 83814-4961
Phone: (208) 819-2183
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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 PA.PA.61479317 (WA)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA-2607 (ID)

Record details

NPI number1679203988
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 10, 2022
Last updated in NPPESOctober 21, 2023
Certification dateOctober 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Coeur D Alene