Individual provider · Type 1 NPI

Mackenzie Miller, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1679479448 Active

Practice location

5964 Normandy Blvd
Jacksonville, FL 32205-6212

Call (904) 378-0121 Map

Mailing address

10667 Brightman Blvd Apt 6109
Jacksonville, FL 32246-7524

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9122619 (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 1679479448

Mackenzie Miller, PA-C's National Provider Identifier is 1679479448, issued on Oct 17, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 17, 2026.