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

Jenny A Petitpas, PA

Individual provider Surgical Physician Assistant · NPI 1043723539

Jenny A Petitpas, PA is a Surgical Physician Assistant in Cambridge, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.

Licensed in
MA
In the registry since
2017
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

330 Mount Auburn St Dept OF
Cambridge, MA 02138-5502
Phone: (617) 499-5150
Fax: (617) 499-5593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA6270 (MA)

Record details

NPI number1043723539
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2017
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023
Mailing address330 Mount Auburn St Dept Of, Cambridge, MA 02138-5502

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