Individual provider · Type 1 NPI

William Jordan Phelan, P.A.-C.

Medical Physician Assistant · Tallahassee, FL

NPI number 1801824917 Active

Practice location

Va Clinic, 1607 St James Court
Tallahassee, FL 32308

Call (850) 878-0191 Map

Fax (850) 219-2704

Mailing address

9601-20 Miccosukee Rd
Tallahassee, FL 32309-9662

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 9103039 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1801824917

William Jordan Phelan, P.A.-C.'s National Provider Identifier is 1801824917, issued on Jun 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tallahassee, FL. The record was last updated on Jul 8, 2007.