Individual provider · Type 1 NPI

Hayley Gant Patridge, PA-C

Surgical Physician Assistant · Jacksonville, FL

NPI number 1588033419 Active

Practice location

14540 Old Saint Augustine Rd Ste 2593
Jacksonville, FL 32258-7420

Call (904) 328-5289 Map

Fax (904) 328-1690

Mailing address

1824 King St Ste 200
Jacksonville, FL 32204-4736

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9109035 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9109035 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1588033419

Hayley Gant Patridge, PA-C's National Provider Identifier is 1588033419, issued on Sep 22, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 31, 2025.