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

Jenna Mackey, PA-C

Individual provider Physician Assistant · NPI 1306619481

Jenna Mackey, PA-C is a Physician Assistant in Port Huron, Michigan. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2023
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

1107 Stone St Ste 3
Port Huron, MI 48060-3569
Phone: (810) 204-4494
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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 5601013812 (MI)

Record details

NPI number1306619481
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 1, 2023
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address1107 Stone St Ste 3, Port Huron, MI 48060-3569

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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