Individual provider · Type 1 NPI

Stephanie Shoults

Physician Assistant · Jacksonville, FL

NPI number 1639650211 Active

Practice location

820 Prudential Dr Ste 713
Jacksonville, FL 32207-8209

Call (904) 396-5682 Map

Mailing address

109 25th Ave S
Jacksonville Beach, FL 32250-6131

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9111528 (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 1639650211

Stephanie Shoults's National Provider Identifier is 1639650211, issued on Aug 22, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 22, 2018.