Individual provider · Type 1 NPI

Kayla Marie Demus Wilmot, PA

Medical Physician Assistant · Jacksonville, FL

NPI number 1003428111 Active

Practice location

1215 Dunn Ave Ste 1
Jacksonville, FL 32218-4897

Mailing address

6520 Fort Caroline Rd
Jacksonville, FL 32277-2044

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X9113901 (FL)
Family Nurse Practitioner 363LF0000XPA9113901 (FL)
Medical Physician Assistant Primary 363AM0700XPA9113901 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1003428111

Kayla Marie Demus Wilmot, PA's National Provider Identifier is 1003428111, issued on Aug 19, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 25, 2021.