NPI 1003167933

Jean Fairchild Blythe, PA

Practitioner Physician Assistant Orlando, FL

Practice location

Address: 5979 Vineland Rd STE 101, Orlando, FL 32819-7860
Phone: (407) 355-3120
Fax: (407) 355-3119

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PAT 9106844 (FL)

Other Physician Assistant providers in Florida →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25402 (NY)

Registry record

NPI: 1003167933
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2012
Record last updated: 3 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.