NPI 1669873352 · live from the CMS NPI Registry
Heather Ann Albertson, PA-C
Physician Assistant in Jacksonville, FL. National Provider Identifier 1669873352, active.
NPI record
| NPI | 1669873352 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 14546 Old Saint Augustine Rd Ste 402, Jacksonville, FL 32258 |
| Practice phone | 904-245-1328 |
| Mailing address | Po Box 748817, Atlanta, GA 30374 |
| Enumerated | September 12, 2014 |
| Last updated | June 23, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA60931998 (WA) |
| Physician Assistant, Surgical | 363AS0400X | PA9110867 (FL) |
| Physician Assistant, Surgical | 363AS0400X | PA60931998 (WA) |
| Physician Assistant primary | 363A00000X | PA9110867 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.