ALANA MICHELLE WEATHERLY


Address: 14540 Old Saint Augustine Rd, Suite 2391, Jacksonville, FL 32258-7418
Phone: 9042623372

ALANA MICHELLE WEATHERLY (NPI# 1215378203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215378203
Entity Type Individual
Full Name ALANA MICHELLE WEATHERLY
Credential P.A.
Practice Address 14540 Old Saint Augustine Rd
Suite 2391
Jacksonville
FL 32258-7418
Mailing Address 11945 San Jose Blvd
Bldg 300
Jacksonville
FL 32223-1613
Practice Telephone 9042623372
Practice Fax Number 9042623306
Mailing Telephone 9043961725
Mailing Fax Number 9043991717
Enumeration Date 2013-07-08
Last Update Date 2013-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 14540 OLD SAINT AUGUSTINE RD
SUITE 2391
City JACKSONVILLE
State FL
Zip Code 32258-7418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124023445 John Michael Tierney Physician Assistant 14540 Old Saint Augustine Rd, Suite 2201, Jacksonville, FL 32258-7418 2005-06-14
1083153365 Baptist-southeast Gynecologic Oncology Associates Inc Obstetrics & Gynecology 14540 Old Saint Augustine Rd, Suite 2593, Jacksonville, FL 32258-7418 2017-02-20
1760851521 Lindsay Choate Physician Assistant 14540 Old Saint Augustine Rd, Suite 2317, Jacksonville, FL 32258-7418 2015-09-22
1639505035 Baptist Neurology Inc Psychiatry & Neurology 14540 Old Saint Augustine Rd, Suite 2599, Jacksonville, FL 32258-7418 2013-09-18
1275975047 Christi Burnett Paul Nurse Practitioner 14540 Old Saint Augustine Rd, Suite 2207, Jacksonville, FL 32258-7418 2013-07-22
1801150594 Matthew Theodore Swiatowicz Physician Assistant 14540 Old Saint Augustine Rd, Suite 2317, Jacksonville, FL 32258-7418 2012-06-27
1215233184 Sunshine Spine and Pain Pa Specialist 14540 Old Saint Augustine Rd, Mob 2 Suite 2397, Jacksonville, FL 32258-7418 2011-02-09
1679802904 Baptist Primary Care Inc Internal Medicine 14540 Old Saint Augustine Rd, Suite 2307, Jacksonville, FL 32258-2460 2009-12-16
1851530216 Alyssa A Paetau Surgery 14540 Old Saint Augustine Rd, Suite 2571, Jacksonville, FL 32258-7418 2009-02-09
1205080652 Cameron David Adkisson Surgery 14540 Old Saint Augustine Rd, 2571, Jacksonville, FL 32258-7418 2008-11-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
1992275572 William Lundgren Nurse Anesthetist, Certified Registered 3625 University Blvd South, Jacksonville, FL 32258 2018-11-27
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679092886 Palm Life Medical Associates Pa Assisted Living Facility 12494 Acosta Oaks Drive, Jacksonville, FL 32258 2017-09-19
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255858650 John Matthew Dumas Physician Assistant 3640 Newcomb Rd, Jacksonville, FL 32218-1510 2017-08-25
1932432093 Andrew Gibson Physician Assistant 12869 Dunes Ct, Jacksonville, FL 32225-3889 2009-09-08
1871556340 Kevin Michael Cofran Physician Assistant 1838 Mcintosh Pl, Jacksonville, FL 32210-2224 2006-04-07
1811950272 Jaclyn Michelle Tyo Physician Assistant 2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4712 2006-04-07
1912969015 Wendy Elizabeth Ashby Physician Assistant 3639 Darnall Pl, Jacksonville, FL 32217-4215 2006-04-04
1407839616 Jennifer Renee Wren Physician Assistant 1820 Barrs St, Suite 701, Jacksonville, FL 32204-4742 2005-11-22
1962403949 Katherine Elizabeth Stenberg Curry Physician Assistant 841 Prudential Dr, Ufjax - Pediatric Cardiothoracic Surgery, Jacksonville, FL 32207-8329 2005-08-02
1346848173 Marisa Elaine Long Physician Assistant 836 Prudential Dr Ste 1001, Jacksonville, FL 32207-8337 2020-10-14
1235775438 Jacqueline M Evans Physician Assistant 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 2019-11-22
1992363733 Lindsey Allison Baroch Physician Assistant 3627 University Blvd S Ste 550, Jacksonville, FL 32216-7401 2019-06-05
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Competitor

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City JACKSONVILLE
Zip Code 32258

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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