Kathryn Tyrrell Degoursey in Jacksonville - Physician Assistant
Kathryn Tyrrell Degoursey - NPI 1659384766
Kathryn Tyrrell Degoursey is a Physician Assistant in Jacksonville, Florida. Kathryn Tyrrell Degoursey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kathryn Tyrrell Degoursey is 1659384766. The last update date is 2019-02-26.
Kathryn Tyrrell Degoursey's current location address is 3550 University Blvd S Ste 302, Jacksonville, Florida. You can contact this provider via phone number 9047334444 and fax number 9047335377. The mailing address for Kathryn Tyrrell Degoursey is 3550 University Blvd S Ste 302, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Tyrrell Degoursey |
|---|---|
| Address | 3550 University Blvd S Ste 302, Jacksonville, Florida |
| Phone Number | 9047334444 |
| Fax Number | 9047335377 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1659384766 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2019-02-26 |
Provider Mailing Address Detail
| Address | 3550 University Blvd S Ste 302 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32216 |
| Phone Number | 9047334444 |
| Fax Number | 9047335377 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1974 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9353600 | FL | -- | |
| 18008600 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kathryn Tyrrell Degoursey?
The Kathryn Tyrrell Degoursey has been issued the NPI (National Provider Identifier) 1659384766 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kathryn Tyrrell Degoursey?
The Kathryn Tyrrell Degoursey is physically situated at 3550 University Blvd S Ste 302, in the city of Jacksonville, state of FL, with the postal code 32216.
What is the area of specialization for Kathryn Tyrrell Degoursey, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kathryn Tyrrell Degoursey is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did Kathryn Tyrrell Degoursey receive its 1659384766 assignment from the Centers for Medicare & Medicaid Services?
The Kathryn Tyrrell Degoursey was assigned its 1659384766 on 2006-08-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kathryn Tyrrell Degoursey most recently updated or revised?
The information pertaining to Kathryn Tyrrell Degoursey, including its address, specialty, and other relevant details, was last updated or revised on 2019-02-26.
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