Provider Demographics
NPI:1710674270
Name:HARMEYER, JENNA LOUISE (PA-C)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:LOUISE
Last Name:HARMEYER
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5933 SAGEBRUSH RD
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-7040
Mailing Address - Country:US
Mailing Address - Phone:858-752-4012
Mailing Address - Fax:
Practice Address - Street 1:5933 SAGEBRUSH RD
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-7040
Practice Address - Country:US
Practice Address - Phone:858-752-4012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant