Jessica Young
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Jessica Young
NPI Number
1053998153
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/25/2021
Specialties
(Taxonomies)Code
363A00000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
PA9115039
Contact
Information
Purpose
Mailing
Location
Address
5140 GATE PKWY APT 3105
710 LOMAX ST
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32256-0238
32204-4015
Country
US
US
Telephone Number
N/A
(904) 355-6583
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/26/2021