Individual provider · Type 1 NPI

Vanessa Yoder Jewell, PA-C

Surgical Physician Assistant · Bay Pines, FL

NPI number 1376506709 Active

Practice location

10000 Bay Pines Boulevard, Suite 112
Bay Pines, FL 33744

Mailing address

9598 59th Ave N
St. Petersburg, FL 33708-3567

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNONE

Surgical Physician Assistant: Definition to come...

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About NPI 1376506709

Vanessa Yoder Jewell, PA-C's National Provider Identifier is 1376506709, issued on Apr 7, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bay Pines, FL. The record was last updated on Jul 13, 2026.