Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Marie Wade, PA-C

Individual provider Physician Assistant · NPI 1134477490

Jennifer Marie Wade, PA-C is a Physician Assistant in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2012
Specialties on file
2
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

4800 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-4611
Phone: (954) 688-7269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115997 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 015862 (NY)

Record details

NPI number1134477490
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 16, 2012
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

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