Ms. Laurel E. Herron PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Ms. Laurel Elizabeth Herron PA-C
NPI Number
1083681357
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/04/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9101706
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 44008
11761 BEACH BLVD
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32231-4008
32246-6615
Country
US
US
Telephone Number
(904) 244-3199
(904) 633-0585
Identifiers
Identifier
2911078-00
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/26/2016
Provider Address
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