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

Jenna Marie Waterman, PA-C

Individual provider Physician Assistant · NPI 1780156299

Jenna Marie Waterman, PA-C is a Physician Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2018.

Licensed in
IN
In the registry since
2018
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 →

Practice location Address checks out

7333 W Jefferson Blvd
Fort Wayne, IN 46804-6202
Phone: (383) 026-0458
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002636A (IN)

Record details

NPI number1780156299
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 21, 2018
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020

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