Luceghencie Prosper Jean, PA

NPI #1982588802 in Orange Park, Florida

Provider Information

NPI Number: 1982588802
Entity Type: Individual
Name: Luceghencie Prosper Jean, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 4, 2025
Last Updated: Aug 4, 2025

Practice Location

Address: 2727 SPOONBILL TRL
City: Orange Park
State: Florida
ZIP Code: 32073-1655
Phone: (904) 422-2382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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