Female

Gretchen Baldwin PA-C

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Gretchen Baldwin PA-C

NPI Number

1679817266

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/20/2012

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
North Dakota

License Number

9108410
PAC0510

Contact
Information

Purpose

Mailing
Location

Address

705 WELLS RD STE 300
10250 NORMANDY BLVD UNIT 802

City

Orange Park
Jacksonville

State

FL
FL

Postal Code

32073-2982
32221-8064

Country

US
US

Telephone Number

(904) 282-6331
(904) 282-6331

Identifiers

Identifier

71240

Identifier State

ND

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/20/2022

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