Female

Kara J. Blackmer R.D., PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Kara Jean Blackmer R.D., PA-C

NPI Number

1053792754

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/18/2015

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9108622

Contact
Information

Purpose

Mailing
Location

Address

10140 CENTURION PKWY N
807 CHILDRENS WAY

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32256-0532
32207-8426

Country

US
US

Telephone Number

(904) 697-4100
(904) 697-3600

Identifiers

Identifier

003163173A
015111900

Identifier State

GA
FL

Identifier Issuer

Unknown
Unknown

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

Data last updated by provider on 10/17/2023

Provider Address

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