MRS. HAYLEY GANT PATRIDGE PA-C NPI 1588033419

NPI Information

NPI: 1588033419
Provider Name: MRS. HAYLEY GANT PATRIDGE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
14540 OLD SAINT AUGUSTINE RD STE 2593
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 328-5289
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MRS. Hayley Gant Patridge, PA-C is a surgical physician assistant in Jacksonville, FL with 9 years of experience. MRS. Hayley Gant Patridge, PA-C NPI is 1588033419. 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:

14540 OLD SAINT AUGUSTINE RD STE 2593
JACKSONVILLE, FL
ZIP 32258-420
Phone: (904) 328-5289
Fax: (904) 328-1690

The NPI 1588033419 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 9/22/2015 and was last updated on 11/23/2022.

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
1	363A00000X	Physician Assistant		PA9109035	FLORIDA	No
2	363AS0400X	Physician Assistant	Surgical	PA9109035	FLORIDA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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