Active NPIIndividual provider

Jenna K Parks, PA-C

Physician Assistant in Durham, Connecticut

NPI Number1407463235
Practice location
6 Main St, Durham, CT 06422-2130
Fax
—
Last updated
October 21, 2025

Jenna Kaitlyn Parks is a Physician Assistant based in Durham, CT. Jenna Kaitlyn Parks practices in Durham, CT and has the professional credentials of PA-C. The NPI Number for Jenna Kaitlyn Parks is 1407463235 and holds a License No. 4968 (CT). The current practice location address for Jenna Kaitlyn Parks is 6 Main St, Durham, CT 06422-2130 and can be reached out via phone at 860-358-5020.

Provider Profile Details

NPI Number
1407463235
Provider Name
Jenna Kaitlyn Parks
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6 Main St, Durham, CT 06422-2130
Phone Number
860-358-5020
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2020
Last Update Date
October 21, 2025
Certification Date
October 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Main St
Durham, CT 06422-2130
City
Durham
Zip
06422-2130
Phone Number
860-358-5020
Durham, CT 06422Get directions →

Provider Business Mailing Address Details

Address
32 Hog Hill RD
East Hampton, CT 06424-1821
City
East Hampton
State
CT
Zip
06424-1821
Phone Number
860-682-0851

License Information

License Number
4968
License State
CT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jenna K Parks, PA-C?

The NPI number of Jenna K Parks, PA-C is 1407463235. It was assigned on September 25, 2020 and is currently active in the NPPES registry.

What is the specialty of Jenna K Parks, PA-C?

Jenna K Parks, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 4968.

Where does Jenna K Parks, PA-C practice?

The practice location is 6 Main St, Durham, CT 06422-2130. The office can be reached at 860-358-5020 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407463235 directly on the NPPES registry website.

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