Jennifer Elizabeth Faison in Port Orange - Physician Assistant
Jennifer Elizabeth Faison - NPI 1902088586
Jennifer Elizabeth Faison is a Physician Assistant in Port Orange, Florida. Jennifer Elizabeth Faison practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Elizabeth Faison is 1902088586. The last update date is 2011-07-26.
Jennifer Elizabeth Faison's current location address is 1690 Dunlawton Avenue, Port Orange, Florida. You can contact this provider via phone number 3867634920 and fax number 3867634939. The mailing address for Jennifer Elizabeth Faison is 1690 Dunlawton Avenue, Port Orange, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Elizabeth Faison |
|---|---|
| Address | 1690 Dunlawton Avenue, Port Orange, Florida |
| Phone Number | 3867634920 |
| Fax Number | 3867634939 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1902088586 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2011-07-26 |
Provider Mailing Address Detail
| Address | 1690 Dunlawton Avenue |
|---|---|
| City | Port Orange |
| State | Florida (FL) |
| Post Code | 321278980 |
| Phone Number | 3867634920 |
| Fax Number | 3867634939 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9104338 |
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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 |
|---|---|---|---|
| PA9104338 | FL | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Elizabeth Faison by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Elizabeth Faison has been assigned the NPI (National Provider Identifier) 1902088586. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jennifer Elizabeth Faison's facilities are geographically located?
The facilities of Jennifer Elizabeth Faison are physically situated at the following location: 1690 Dunlawton Avenue, Port Orange, FL, 321278980.
What is Jennifer Elizabeth Faison's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer Elizabeth Faison is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902088586 to Jennifer Elizabeth Faison?
The Centers for Medicare & Medicaid Services assigned the 1902088586 to Jennifer Elizabeth Faison on 2007-12-05.
When was the information regarding Jennifer Elizabeth Faison most recently updated?
The details pertaining to the Jennifer Elizabeth Faison, including its address, specialty, and other relevant information, were last refreshed on 2011-07-26.