Jerry Wayne Wharton II
Physician Assistant · Daytona Beach, FL
Practice location
303 N Clyde Morris BlvdDaytona Beach, FL 32114-2709
- Phone
- (276) 207-3108
NPI record
- NPI
- 1154069292
- Entity type
- Individual (Type 1)
- Enumeration date
- May 26, 2022
- Last updated
- March 2, 2023
- Certified
- March 2, 2023
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
PA9117163 | FL |
Mailing address
3145 S Atlantic Ave Apt 1203Daytona Beach, FL 32118-6274
About Jerry Wharton
Jerry Wayne Wharton II is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709. The NPI number 1154069292 was assigned on May 26, 2022 and the record was last updated on March 2, 2023.
Jerry Wharton lists a license in the registry: #PA9117163 (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 Jerry Wayne Wharton II?
The NPI number is 1154069292.
What is the phone number of Jerry Wharton?
The phone number listed for the practice location is (276) 207-3108.
Where is Jerry Wharton located?
303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709.
What is the taxonomy code for Jerry Wharton?
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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