MRS. KERRIE PEACOCK-PRESTON


Address: 3225 University Blvd S, Suite 101, Jacksonville, FL 32216-2762
Phone: 9042531220

MRS. KERRIE PEACOCK-PRESTON (NPI# 1861454126) 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) 1861454126
Entity Type Individual
Full Name MRS. KERRIE PEACOCK-PRESTON
Credential PA-C
Practice Address 3225 University Blvd S
Suite 101
Jacksonville
FL 32216-2762
Practice Telephone 9042531220
Mailing Telephone 9042531220
Enumeration Date 2006-04-03
Last Update Date 2014-07-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9103213 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 0020409-00 05

Office Location

Street Address 3225 UNIVERSITY BLVD S
SUITE 101
City JACKSONVILLE
State FL
Zip Code 32216-2762

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144856030 Sarah Pratico Nurse Practitioner 3225 University Blvd S, Jacksonville, FL 32216-2762 2020-03-23
1538599493 Christopher Shuff Dietitian, Registered 3225 University Blvd S, Jacksonville, FL 32216-2762 2013-11-13
1780017699 Florida Department of Health Clinic/Center 3225 University Blvd S, Suite 101, Jacksonville, FL 32216-2762 2013-08-14
1457624553 Erin Elisabeth Meyer Dietitian, Registered 3225 University Blvd S, Suite 100, Jacksonville, FL 32216-2762 2012-02-21
1477826055 Sally Erickson Weerts Dietitian, Registered 3225 University Blvd S, Jacksonville, FL 32216-2762 2012-02-14
1851679732 Kimberly M Jimenez Nurse Practitioner 3225 University Blvd S, Suite 104, Jacksonville, FL 32216-2762 2011-07-27
1013210525 Lindsey A Sowders Dietitian, Registered 3225 University Blvd S, Jacksonville, FL 32216-2762 2010-12-06
1629398359 Denitza Issaeva Mladenova Dietitian, Registered 3225 University Blvd S, Jacksonville, FL 32216-2762 2010-06-04
1356570006 Kathrine Marie Foreman Dietitian, Registered 3225 University Blvd S, Jacksonville, FL 32216-2762 2009-07-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
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1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

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City JACKSONVILLE
Zip Code 32216

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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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