NPI 1003271404

Jessica Defazio, PAC

Practitioner Physician Assistant Jacksonville, FL

Practice location

Address: 836 Prudential Dr STE 1400, Jacksonville, FL 32207-8340
Phone: (904) 388-6518
Fax: (904) 384-1005
Mailing address: PO Box 746647, Atlanta, GA 30374-6647

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9113468 (FL)

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Registry record

NPI: 1003271404
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2015
Record last updated: 18 Feb 2026

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.