Female

Bryn A. Graham PA-C

Surgical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Bryn A Graham PA-C

NPI Number

1184094716

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/24/2015

Specialties

(Taxonomies)

Code

363AS0400X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Pennsylvania

License Number

PA9109024
MA064409

Contact
Information

Purpose

Mailing
Location

Address

1824 KING ST
3627 UNIVERSITY BLVD S STE 135

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32204-4735
32216-4231

Country

US
US

Telephone Number

(904) 384-3343
(904) 398-8147

Identifiers

Identifier

016417900

Identifier State

FL

Identifier Issuer

Unknown

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

Data last updated by provider on 03/23/2023

Provider Address

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