Grace Bryan, PAC

Physician Assistant · Jacksonville, FL

Individual Active NPI

NPI number 1003897232

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone
(904) 953-2000

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NPI record

NPI
1003897232
Entity type
Individual (Type 1)
Enumeration date
November 5, 2005
Last updated
September 1, 2020
Certified
September 1, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA3590 FL

About Grace Bryan

Grace Bryan, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4500 San Pablo Rd S, Jacksonville, FL 32224-1865. The NPI number 1003897232 was assigned on November 5, 2005 and the record was last updated on September 1, 2020.

Grace Bryan lists a license in the registry: #PA3590 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grace Bryan, PAC?

The NPI number is 1003897232.

What is the phone number of Grace Bryan?

The phone number listed for the practice location is (904) 953-2000.

Where is Grace Bryan located?

4500 San Pablo Rd S, Jacksonville, FL 32224-1865.

What is the taxonomy code for Grace Bryan?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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