Joni Collins Ricketts in Jacksonville - Physician Assistant
Joni Collins Ricketts - NPI 1437178928
Joni Collins Ricketts is a Physician Assistant in Jacksonville, Florida. Joni Collins Ricketts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Joni Collins Ricketts is 1437178928. The last update date is 2019-11-27.
Joni Collins Ricketts's current location address is 10210 San Jose Blvd Ste 4, Jacksonville, Florida. You can contact this provider via phone number 9049908484 and fax number 9049908485. The mailing address for Joni Collins Ricketts is 10210 San Jose Blvd Ste 4, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joni Collins Ricketts |
|---|---|
| Address | 10210 San Jose Blvd Ste 4, Jacksonville, Florida |
| Phone Number | 9049908484 |
| Fax Number | 9049908485 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1437178928 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2019-11-27 |
Provider Mailing Address Detail
| Address | 10210 San Jose Blvd Ste 4 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322576271 |
| Phone Number | 9049908484 |
| Fax Number | 9049908485 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9103731 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003872-00 | FL | -- | |
| PA9103731 | FL | FL PA LICENSE | |
| 0038372-00 | FL | -- | |
| FH506W | FL | MEDICARE - INDIVIDUAL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Joni Collins Ricketts by the Centers for Medicare & Medicaid Services?
The Joni Collins Ricketts has been issued the NPI (National Provider Identifier) 1437178928, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Joni Collins Ricketts's facilities are geographically located?
The facilities of Joni Collins Ricketts are physically situated at the following location: 10210 San Jose Blvd Ste 4, Jacksonville, FL, 322576271.
What is Joni Collins Ricketts's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Joni Collins Ricketts's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date was the 1437178928 assigned to Joni Collins Ricketts?
The Joni Collins Ricketts was issued its 1437178928 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Joni Collins Ricketts's details last updated?
The information pertaining to the Joni Collins Ricketts, including its address, specialty, and other details, was most recently updated on 2019-11-27.