Individual provider · Type 1 NPI

Jeffrey D. Ricketts, PA

Surgical Physician Assistant · Jacksonville, FL

NPI number 1063495281 Active

Practice location

836 Prudential Dr, Ste 1804
Jacksonville, FL 32207

Call (904) 398-3888 Map

Fax (904) 400-6675

Mailing address

1824 King St, Ste 200
Jacksonville, FL 32204-4736

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9103298 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1063495281

Jeffrey D. Ricketts, PA's National Provider Identifier is 1063495281, issued on Nov 22, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jacksonville, FL. The record was last updated on May 10, 2018.