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

Jenna Nicole Dahle, PA

Individual provider Physician Assistant · NPI 1588217285

Jenna Nicole Dahle, PA is a Physician Assistant in Mount Airy, Maryland. Qualified in 2019, 7 years ago. Practices with Mnr Industries, LLC, a 143-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
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

504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone: (301) 703-5452
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0007244 (MD)

Record details

NPI number1588217285
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 22, 2019
Last updated in NPPESJuly 22, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mnr Industries, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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