Individual provider · Type 1 NPI

Jaclyn Tyo Meldrum, PA-C

Surgical Physician Assistant · Jacksonville, FL

NPI number 1811950272 Active

Practice location

5191 First Coast Tech Pkwy Fl 3
Jacksonville, FL 32224-0609

Fax (904) 223-2169

Other practice locations

  • 2550 Park St Ste B, Jacksonville, FL 32204-4518 · (904) 223-3321

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9103502 (FL)

Surgical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1811950272

Jaclyn Tyo Meldrum, PA-C's National Provider Identifier is 1811950272, issued on Apr 7, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 14, 2024.