MEDICARE: JENNIFER GAINER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	2288	CO
2	363A00000X	Physician Assistant	0110006137	VA
3	363AS0400X	Surgical Physician Assistant	1947	SC
4	363A00000X	Physician Assistant	1947	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508189184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER GAINER PA-C

Provider Business Mailing Address
First Line	:	PO BOX 1430
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22803-1430
Country	:	US
Telephone Number	:	540-689-5800
Fax Number	:	757-431-7136

Provider Business Practice Location Address
First Line	:	197 PIEDMONT BLVD STE 100
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1825
Country	:	US
Telephone Number	:	803-324-1950
Fax Number	:	803-324-1933

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2010
Last Update Date	:	08/22/2025

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