JACQUELYN CARNEY PA-C NPI 1205107109

NPI Information

  • NPI: 1205107109
  • Provider Name: JACQUELYN CARNEY, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 625 6TH AVE S
    SUITE 450
    ST PETERSBURG, FL
    ZIP 33701
  • Phone: (727) 898-2663

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NPI Details

Jacquelyn Carney, PA-C is a surgical physician assistant in St Petersburg, FL. Jacquelyn Carney, PA-C NPI is 1205107109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

625 6TH AVE S
SUITE 450
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 898-2663
Fax: (727) 568-6836

The enumeration date for this NPI number is 1/24/2012 and was last updated on 7/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363AS0400XPhysician AssistantSurgicalPA9106471FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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