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

Jennifer Elizebeth Khaled, PA-C

Individual provider Physician Assistant · NPI 1912202631

Jennifer Elizebeth Khaled, PA-C is a Physician Assistant in Ravenna, Nebraska. Practices as a sole proprietor. Licensed in Nebraska and New York.

Licensed in
NE, NY
In the registry since
2011
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

41541 Carthage Rd
Ravenna, NE 68869-4073
Phone: (531) 218-4184
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1818 (NE)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 02750 (NY)

Record details

NPI number1912202631
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 12, 2011
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024

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