Jalyssa R. Bennett, PA
Physician Assistant · Fort Wayne, IN
UnclaimedPANPI 1952200685
- Primary taxonomy
- 363A00000X
- Enumerated
- 2026-10-31
- Practice location
- Fort Wayne, IN
- Last NPPES update
- 2026-10-31
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.