Jessica Defazio PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Jessica Defazio PA-C
NPI Number
1003271404
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/30/2015
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9113468
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 746647
800 PRUDENTIAL DR STE 1100
City
Atlanta
Jacksonville
State
GA
FL
Postal Code
30374-6647
32207-8202
Country
US
US
Telephone Number
(904) 388-6518
(904) 388-6518
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/24/2024