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NPI Code Detail

MEDICARE: JENNA M SANNY PA-C

MEDICARE: JENNA M SANNY 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
1363A00000XPhysician Assistant3128NE

General Provider Information

NPI Number : 1841038239
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA M SANNY PA-C
Provider Business Mailing Address
First Line : 1103 BUFFALO BND
Second Line :
City : LEXINGTON
State : NE
Zip : 68850-1528
Country : US
Telephone Number : 308-324-6386
Fax Number : 308-324-4026
Provider Business Practice Location Address
First Line : 1103 BUFFALO BND
Second Line :
City : LEXINGTON
State : NE
Zip : 68850-1528
Country : US
Telephone Number : 308-324-6386
Fax Number : 308-324-4026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2024
Last Update Date : 01/28/2026

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Directions to “ JENNA M SANNY PA-C” Practice Location

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