| Jimmie Stone, PA-C | |
|
851042 Us Highway 17, Yulee, FL 32097-2845 | |
| (904) 633-0670 | |
| Not Available |
| Full Name | Jimmie Stone |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 851042 Us Highway 17, Yulee, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023076098 | NPI | - | NPPES |
| 0004908-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110000930 (Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA 9104733 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmie Stone, PA-C Po Box 44008, Ufjp - Provider Enrollment, Jacksonville, FL 32231-4008 Ph: (904) 244-3199 | Jimmie Stone, PA-C 851042 Us Highway 17, Yulee, FL 32097-2845 Ph: (904) 633-0670 |
Tiara Lei Funkhouser, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 463380 State Road 200 Unit B, Yulee, FL 32097 Phone: 904-500-9808 Fax: 904-432-0401 | |
Joshua Woodin, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 463832 Sr 200, Yulee, FL 32097 Phone: 904-225-2311 Fax: 904-225-8481 | |
Mrs. Megan Lynn Day, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 851042 Us Highway 17, Yulee, FL 32097 Phone: 904-633-0670 Fax: 904-633-0671 | |
Evan James Leonard, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 851042 Us Highway 17, Yulee, FL 32097 Phone: 904-633-0670 | |
Sharon Renee Lettsome, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 463142 Sr 200, Yulee, FL 32097 Phone: 904-225-8280 | |
Jacob Wesley Groseth, DPT Physician Assistant Medicare: Medicare Enrolled Practice Location: 463688 State Road 200 Ste 9, Yulee, FL 32097 Phone: 904-261-4414 |