person
Jeffrey D Ricketts, PA
Surgical Physician Assistant in Jacksonville, Florida
NPI 1063495281

Jeffrey D Ricketts is a Surgical Physician Assistant based in Jacksonville, FL and is specialized in Surgical. Jeffrey D Ricketts practices in Jacksonville, FL and has the professional credentials of PA. The NPI Number for Jeffrey D Ricketts is 1063495281 and holds a License No. PA9103298 (Florida).

The current practice location address for Jeffrey D Ricketts is 836 Prudential Dr, Jacksonville, FL and can be reached out via phone at 904-398-3888 and via fax at 904-400-6675.

Location: 836 Prudential Dr, Jacksonville, FL, 32204-4736
person
Provider Profile Details
NPI Number
1063495281
Provider Name
Jeffrey D Ricketts
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
836 Prudential Dr, Jacksonville, FL, 32204-4736
Phone Number
904-398-3888
Fax Number
904-400-6675
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292285100 05 FL
institution
Provider Business Practice Location Address Details
Address
836 Prudential Dr
City
State
Zip
32207
Phone Number
904-398-3888
Fax Number
904-400-6675
person
Provider Business Mailing Address Details
Address
836 Prudential Dr
City
State
Zip
32207
Phone Number
904-398-3888
Fax Number
904-400-6675
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9103298 (Florida)
Definition
Definition to come...
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