Individual provider · Type 1 NPI

Hannah Marie Boustany, PA-C

Medical Physician Assistant · Jacksonville, FL

NPI number 1184474496 Active

Practice location

7015 A C Skinner Pkwy Bldg 100
Jacksonville, FL 32256-6932

Call (904) 516-3737 Map

Fax (904) 363-7453

Mailing address

7751 Belfort Pkwy Ste 350
Jacksonville, FL 32256-6951

Other practice locations

  • 901 S 5th St, Mount Vernon, WA 98274-3942 · (360) 814-7300

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.PA.61516992 (WA)

Medical Physician Assistant: Definition to come...

14 other providers at this address

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About NPI 1184474496

Hannah Marie Boustany, PA-C's National Provider Identifier is 1184474496, issued on Mar 27, 2024. 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 29, 2026.