Individual provider · Type 1 NPI

Gabrielle Gannon, PA-C

Physician Assistant · St. Augustine, FL

NPI number 1669169835 Active

Practice location

45 Groover Loop
St. Augustine, FL 32086-6548

Call (904) 634-0640 Map

Mailing address

6800 Southpoint Pkwy Ste 300
Jacksonville, FL 32216-8203

Other practice locations

  • 2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4717 · (904) 634-0640
  • 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 · (904) 634-0640
  • 1690 US Highway 1 S, St. Augustine Beach, FL 32084-4192 · (904) 634-0640
  • 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 · (904) 634-0640
  • 2300 Park Ave Ste 206, Orange Park, FL 32073-5573 · (904) 634-0640
  • 3055 County Road 210 W Ste 110, St. Johns, FL 32259-7001 · (904) 634-0640
  • 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 · (904) 634-0640
  • 4268 Oldfield Crossing Dr Ste 210, Jacksonville, FL 32223-7898 · (907) 634-0640
  • 4565 US Highway 17 Ste 200, Fleming Island, FL 32003-4823 · (904) 634-0640
  • 15255 Max Legget Pkwy Ste 5300, Jacksonville, FL 32218-7274 · (904) 634-0640
  • 2110 Herschel St, Jacksonville, FL 32204-3820 · (904) 634-0640

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X031131 (NY)
Physician Assistant 363A00000XPA9121113 (FL)
Physician Assistant Primary 363A00000X25MP00826400 (NJ)

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…

5 other providers at this address

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About NPI 1669169835

Gabrielle Gannon, PA-C's National Provider Identifier is 1669169835, issued on Apr 19, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Augustine, FL. The record was last updated on Oct 29, 2026.