Female

Vanessa A. Hajzus PA-C

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

Full Name

Vanessa A Hajzus PA-C

NPI Number

1730581257

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/16/2014

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
South Carolina

License Number

PA9118949
2175

Contact
Information

Purpose

Mailing
Location

Address

234 BROOKLINE TRL
6600 CHARING ST

City

Ponte Vedra
Jacksonville

State

FL
FL

Postal Code

32081-8491
32216-6110

Country

US
US

Telephone Number

(434) 566-8530
(904) 674-0022

Identifiers

Identifier

1981PA

Identifier State

SC

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

Vanessa.Hajzus@rsfpp.eclinicaldirectplus.com

Endpoint Description

Document and CCD Exchange

Use

Direct

Content Type

Other

Other Description:
Patient Care Documents

Affiliation

N

Endpoint Location

8950 University Blvd Ste 150North Charleston, SC294069115US

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

Data last updated by provider on 08/15/2024

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