Individual provider · Type 1 NPI
Jessica L. Boudreaux-Milligan, PA-C
Medical Physician Assistant · Melbourne, FL
NPI number
1386815835
Active
Practice location
2290 W Eau Gallie Blvd Ste 210B
Melbourne, FL 32935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 9109966 (FL) |
| Medical Physician Assistant | 363AM0700X | 2008006639 (MO) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1386815835
Jessica L. Boudreaux-Milligan, PA-C's National Provider Identifier is 1386815835, issued on Mar 12, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Melbourne, FL. The record was last updated on Apr 3, 2019.