Individual provider · Type 1 NPI

Kimberly Mattson Wieringa, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1316136591 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 953-2000 Map

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Other practice locations

  • 1633 Race Track Rd, Suite 101, Jacksonville, FL 32259-3234 · (904) 451-0587

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9105525 (FL)

Physician Assistant: 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, orde…

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About NPI 1316136591

Kimberly Mattson Wieringa, PA-C's National Provider Identifier is 1316136591, issued on Oct 23, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 9, 2024.