Female

Ms. Susan Harcke PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Ms. Susan Harcke PA-C

NPI Number

1013080464

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/15/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Delaware
Florida

License Number

C5-0000655
9113754

Contact
Information

Purpose

Mailing
Location

Address

6547 KINGS RD
964 AJAX STREET BRANCH HEALTH CLINIC - PRIMARY CARE

City

Keystone Heights
Jacksonville

State

FL
FL

Postal Code

32656-9316
32214-3752

Country

US
US

Telephone Number

(570) 352-5036
(302) 353-8471

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

Data last updated by provider on 12/29/2023

Provider Address

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