Individual provider · Type 1 NPI

Heather Putnam, PAC

Surgical Physician Assistant · Jacksonville, FL

NPI number 1730432170 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 953-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9106882 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1730432170

Heather Putnam, PAC's National Provider Identifier is 1730432170, issued on Oct 23, 2012. 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 24, 2026.