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

Jennifer Legg

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043976764

Jennifer Legg is a Physician Assistant in Deland, Florida. Qualified in 2021, 5 years ago. Practices with Elite Hospital Partners of Oklahoma, a 23-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

925 N Stone St
Deland, FL 32720-2521
Phone: (386) 734-6007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9115840 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043976764
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2021
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022
Mailing address97 Courage Loop, Fort Stewart, GA 31315-5876

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Elite Hospital Partners Of Oklahoma — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Deland