Jena Faeorest, PA-C Valid NPI

Individual provider · Physician Assistant · Brockton, MA

NPI

1477141455

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA7908 (MA)

Sex

Female

Sole proprietor

No

Enumerated

2021-01-06

Last updated

2026-03-20