Jessica Defazio, PA-C
NPI #1003271404 in Jacksonville, Florida
Provider Information
- NPI Number
- 1003271404
- Entity Type
- Individual
- Name
- Jessica Defazio, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Dec 30, 2015
- Last Updated
- Aug 7, 2025
Practice Location
- Address
- 836 PRUDENTIAL DR STE 1400
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32207-8340
- Phone
- (904) 388-6518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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| Kyle Hollingsworth, PA-C, ATC | |
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