Jennifer Elizabeth Faison, P.A.-C
NPI #1902088586 in Port Orange, Florida
Provider Information
- NPI Number
- 1902088586
- Entity Type
- Individual
- Name
- Jennifer Elizabeth Faison, P.A.-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.-C
- Enumeration Date
- Dec 5, 2007
- Last Updated
- Jul 26, 2011
Practice Location
- Address
- 1690 DUNLAWTON AVENUE
- Address 2
- SUITE 210
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32127-8980
- Phone
- (386) 763-4920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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