NPI 1003428111

Kayla Marie Demus Wilmot, PA

Practitioner Medical Physician Assistant Jacksonville, FL

Practice location

Address: 1215 Dunn Ave STE 1, Jacksonville, FL 32218-4897
Phone: (904) 745-3618
Mailing address: 6520 Fort Caroline Rd, Jacksonville, FL 32277-2044

Registered specialties (3)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA9113901 (FL)

Other Physician Assistant providers in Florida →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 9113901 (FL)

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence PA9113901 (FL)

Other Nurse Practitioner providers in Florida →

Registry record

NPI: 1003428111
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2020
Record last updated: 25 Jun 2021

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.