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

KATHRYN TYRRELL DEGOURSEY, PA-C

Active

KATHRYN TYRRELL DEGOURSEY, PA-C is a Physician Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1659384766 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JACKSONVILLE, FL

Registration Details

NPI Number
1659384766
Provider Type
Individual
Gender
Female
NPI Issued
Aug 14, 2006 (19.991798419331 yrs)
Last Updated
Feb 26, 2019
License
PA1974 (FL)

Practice Information

Address
3550 UNIVERSITY BLVD S STE 302
JACKSONVILLE, FL, 32216
Browse FL providers · Browse ZIP 32216
Phone
9047334444
Fax
9047335377
Primary Specialty
Physician Assistant
363A00000X

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.