Female

Courtney J. Smith PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Courtney Jane Smith PA-C

NPI Number

1184905754

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/08/2011

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

Florida
North Carolina

License Number

PA9118264
0010-03081

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 746654
1301 PALM AVE STE 101

City

Atlanta
Jacksonville

State

GA
FL

Postal Code

30374-6654
32207-8432

Country

US
US

Telephone Number

(904) 202-2092
(904) 202-7300

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

Data last updated by provider on 04/18/2024

Provider Address

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