Jenissa D. Leite Da Silva PA-C
Physician Assistant in Palm Coast, FL(View on Map)
Full Name
Jenissa Denee Leite Da Silva PA-C
NPI Number
1023615507
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/07/2020
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9113699
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 935921
61 MEMORIAL MEDICAL PKWY STE 2811
City
Atlanta
Palm Coast
State
GA
FL
Postal Code
31193-5921
32164-5999
Country
US
US
Telephone Number
N/A
(386) 586-1870
Identifiers
Identifier
OE838
Identifier State
FL
Identifier Issuer
MEDICARE HF
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/25/2024
Provider Address
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