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Tara Shannon Condrey, PA
Physician Assistant in Jacksonville, Florida
NPI 1083871693

Tara Shannon Condrey is a Physician Assistant based in Jacksonville, FL. Tara Shannon Condrey practices in Jacksonville, FL and has the professional credentials of PA. The NPI Number for Tara Shannon Condrey is 1083871693 and holds a License No. PA9104580 (Florida).

The current practice location address for Tara Shannon Condrey is 11512 Lake Mead Ave, Jacksonville, FL and can be reached out via phone at 904-419-2054.

Location: 11512 Lake Mead Ave, Jacksonville, FL, 32256-9680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083871693
Provider Name
Tara Shannon Condrey
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
11512 Lake Mead Ave, Jacksonville, FL, 32256-9680
Phone Number
904-419-2054
Fax Number
Provider Enumeration Date
05/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2930951-00 05 FL
institution
Provider Business Practice Location Address Details
Address
11512 Lake Mead Ave
City
Jacksonville
State
Florida
Zip
32256-9680
Phone Number
904-419-2054
Fax Number
person
Provider Business Mailing Address Details
Address
11512 Lake Mead Ave
City
Jacksonville
State
Florida
Zip
32256-9680
Phone Number
904-419-2054
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9104580 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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