DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HALEY LANE BEUTTELL

Active Sole Proprietor

HALEY LANE BEUTTELL is a Physician Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1508647330 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JACKSONVILLE, FL

Registration Details

NPI Number
1508647330
Provider Type
Individual
Gender
Female
NPI Issued
Oct 9, 2023 (2.8283639408221 yrs)
Last Updated
Nov 2, 2023
Licenses
9118024 (FL)
9118024 (FL)
Sole Proprietor
Yes

Practice Information

Address
10475 CENTURION PKWY N STE 303
JACKSONVILLE, FL, 322565004
Browse FL providers · Browse ZIP 32256
Phone
9043990350
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in JACKSONVILLE, FL

Name Credential NPI
MR. JASON KOTULA P.A. 1548263882
DANIEL A BECK PA-C 1780688465
JOHN MICHAEL TIERNEY PA 1124023445
KAREN ELAINE MAYES PA 1437154887
EDWIN HAUSER PA 1760487185
PETER J RIGGS PA 1255336574
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.