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

Jenna Pannebecker, PAC

Individual provider Physician Assistant · NPI 1114799319

Jenna Pannebecker, PAC is a Physician Assistant in Center Line, Michigan. Qualified in 2023, 3 years ago. Works from 2 locations.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

26672 Van Dyke Ave
Center Line, MI 48015-1222
Phone: (586) 756-7670
Fax: (586) 228-9019
Show map & directions

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

Additional practice locations (1)

  • 43740 Garfield Rd, Clinton Township, MI 48038-1122 — (586) 349-1154

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1114799319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 23, 2023
Last updated in NPPESDecember 22, 2023
Certification dateDecember 22, 2023
Mailing address43740 Garfield Rd, Clinton Township, MI 48038-1122

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

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