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Nicole Gannon, PA-C
Physician Assistant in Jacksonville, Florida
NPI 1467881615

Nicole Gannon is a Physician Assistant based in Jacksonville, FL. Nicole Gannon practices in Jacksonville, FL and has the professional credentials of PA-C. The NPI Number for Nicole Gannon is 1467881615 and holds a License No. PA9107493 (Florida).

The current practice location address for Nicole Gannon is 4500 San Pablo Rd S, Jacksonville, FL and can be reached out via phone at 904-953-2000. You can also correspond with Nicole Gannon through the mailing address at 4500 SAN PABLO RD S, JACKSONVILLE, FL - 32224-1865 (mailing address contact number: ).

Location: 4500 San Pablo Rd S, Jacksonville, FL, 32224-1865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467881615
Provider Name
Nicole Gannon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4500 San Pablo Rd S, Jacksonville, FL, 32224-1865
Phone Number
904-953-2000
Fax Number
Provider Enumeration Date
11/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4500 San Pablo Rd S
City
Jacksonville
State
Florida
Zip
32224-1865
Phone Number
904-953-2000
Fax Number
person
Provider Business Mailing Address Details
Address
4500 San Pablo Rd S
City
Jacksonville
State
Florida
Zip
32224-1865
Phone Number
904-953-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Independent Medical Examiner
Speciality
-
Taxonomy
202C00000X
License No.
PA9107493 (Florida)
Definition
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9107493 (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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