Female

Jacqueline G. York P.A.

Physician Assistant in Gulf Breeze, FL(View on Map)

Full Name

Jacqueline G York P.A.

NPI Number

1407925126

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/07/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9100693

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 30532
1040 GULF BREEZE PKWY

City

Pensacola
Gulf Breeze

State

FL
FL

Postal Code

32503-1532
32561-7809

Country

US
US

Telephone Number

(850) 916-3700
(850) 916-3700

Identifiers

Identifier

59197952
121498
59197954
P00222818
E2224Z
290827100
59010138
121495
Y00MR
Unknown
Unknown

Identifier State

AL
AL
AL
FL
FL
FL
AL
AL
FL
Unknown
Unknown

Identifier Issuer

BCBS ALABAMA - DH2
Unknown
BCBS - SX
MEDICARE RAILROAD
BCBS FLORIDA
Unknown
BCBS ALABAMA
Unknown
BLUE CROSS BLUE SHIELD
Unknown
Unknown

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

Data last updated by provider on 11/29/2011

Provider Address

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