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

Individual provider Physician Assistant · NPI 1730694597

Jessica Renneisen, PA-C is a Physician Assistant in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
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

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone: (954) 414-9750
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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 PA9110877 (FL)

Record details

NPI number1730694597
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 2, 2017
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023

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