Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE JACKSON, PA
ActiveSTACIE JACKSON, PA is a Surgical Physician Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1770248668 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1770248668
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2021 (4.8015380461861 yrs)
- Last Updated
- Mar 10, 2025
- Licenses
-
9115246 (FL)PA9115246 (FL)
Practice Information
- Address
-
3627 UNIVERSITY BLVD S STE 550JACKSONVILLE, FL, 322167401Browse FL providers · Browse ZIP 32216
- Phone
- 9043795986
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| JAMES A ARRECHE | PA-C | 1548264393 |
| SHERRI ANN ROBERTS | PA-C | 1124022975 |
| KRIS H STIPE | PA-C | 1770587545 |
| NOEL MASTERS PERRY | — | 1871597567 |
| CARLTON R MCCARTHY | — | 1205830908 |
| TAMMEZA GIBSON | PA | 1972502268 |
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.