Individual provider · Type 1 NPI

Lesley Chuc Banh

Physician Assistant · Jacksonville, FL

NPI number 1740110592 Active

Practice location

8787 Perimeter Park Blvd
Jacksonville, FL 32216-6345

Call (904) 595-7475 Map

Fax (904) 595-7480

Mailing address

11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1740110592

Lesley Chuc Banh's National Provider Identifier is 1740110592, issued on May 22, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 22, 2026.