Provider Demographics
NPI:1558639336
Name:SAYO, JENNYLYNN LEJANO (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JENNYLYNN
Middle Name:LEJANO
Last Name:SAYO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:JENNYLYNN
Other - Middle Name:NIOKO
Other - Last Name:LEJANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:7610 CARROLL AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6384
Mailing Address - Country:US
Mailing Address - Phone:301-891-6141
Mailing Address - Fax:
Practice Address - Street 1:45929 CORTE MISLANCA
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-3395
Practice Address - Country:US
Practice Address - Phone:240-476-8155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0004637363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant