Marisa Elaine Long, PA-C is a surgical physician assistant in Jacksonville, FL with 4 years of experience. Marisa Elaine Long, PA-C NPI is 1346848173. 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:
836 PRUDENTIAL DR STE 1001
JACKSONVILLE, FL
ZIP 32207-337
Phone: (904) 398-0033
Fax: (904) 398-6774
The NPI 1346848173 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/14/2020 and was last updated on 11/25/2020.