Andrevius T Jefferson in Jacksonville - Physician Assistant

Andrevius T Jefferson - NPI 1801857941

Andrevius T Jefferson is a Physician Assistant in Jacksonville, Florida. Andrevius T Jefferson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andrevius T Jefferson is 1801857941. The last update date is 2008-11-13.

Andrevius T Jefferson's current location address is 655 W 8th St, Jacksonville, Florida. You can contact this provider via phone number 9042444075 and fax number 9042445090. The mailing address for Andrevius T Jefferson is 655 W 8th St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrevius T Jefferson
Address 655 W 8th St, Jacksonville, Florida
Phone Number 9042444075
Fax Number 9042445090
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1801857941
Provider Enumeration Date 2006-03-29
Last Updated Date 2008-11-13

Provider Mailing Address Detail

Address 655 W 8th St
City Jacksonville
State Florida (FL)
Post Code 322096511
Phone Number 9042444075
Fax Number 9042445090

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9103073
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Andrevius T Jefferson

What is the unique identifier code issued to Andrevius T Jefferson by the Centers for Medicare & Medicaid Services?

The Andrevius T Jefferson has been assigned the NPI (National Provider Identifier) 1801857941. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Andrevius T Jefferson is physically located?

The Andrevius T Jefferson is situated at the following address: 655 W 8Th St, Jacksonville, FL 322096511.

What is Andrevius T Jefferson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Andrevius T Jefferson's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

When did the Andrevius T Jefferson receive its 1801857941?

The Andrevius T Jefferson was issued its 1801857941 on 2006-03-29, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Andrevius T Jefferson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Andrevius T Jefferson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-11-13.

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