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

NINEVEH A MCINTOSH, PA-C

Active

NINEVEH A MCINTOSH, PA-C is a Physician Assistant healthcare provider located in ST. JOHNS, Florida. NPI 1730430893 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ST. JOHNS, FL

Registration Details

NPI Number
1730430893
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2012 (13.855393294819 yrs)
Last Updated
Oct 20, 2022
Licenses
PA9106841 (FL)
PA9106841 (FL)

Practice Information

Address
30 ARDISIA LANE
ST. JOHNS, FL, 32259
Browse FL providers · Browse ZIP 32259
Phone
9042872794
Fax
9043907458
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in ST. JOHNS, FL

Name Credential NPI
MRS. KATHERINE ANN WILSON PA-C 1235353988
VANESSA M. BERRIOS PA-C 1982977096
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.