Female

Elizabeth A. Secrist PA

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Elizabeth Ann Secrist PA

NPI Number

1023254166

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/19/2008

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida
North Carolina

License Number

PA9105404
0010-01612

Contact
Information

Purpose

Mailing
Location

Address

2080 CHILD ST
2080 CHILD ST

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32214-5005
32214-5005

Country

US
US

Telephone Number

(904) 542-4677
(904) 542-4677

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

Data last updated by provider on 08/17/2012

Provider Address

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