Individual provider · Type 1 NPI

Judy R. Macnichols, P.A.-C

Medical Physician Assistant · Deland, FL

NPI number 1407858004 Active

Practice location

1070 N. Stone Street, Suite A
Deland, FL 32720

Call (386) 943-7100 Map

Fax (386) 738-8909

Mailing address

1070 N Stone St, Suite A
Deland, FL 32720-0919

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA3264 (FL)
Medical Physician Assistant Primary 363AM0700XPA3264 (FL)

Medical Physician Assistant: Definition to come...

Other medical physician assistant providers in Deland

See all in Deland →

About NPI 1407858004

Judy R. Macnichols, P.A.-C's National Provider Identifier is 1407858004, issued on Aug 12, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Deland, FL. The record was last updated on Feb 19, 2014.