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Individual
JACQUELINE G YORK
Active
Individual
JACQUELINE G YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9100693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121495
—
AL
05
—
121498
—
AL
05
—
290827100
—
FL
01
—
59010138
BCBS ALABAMA
AL
01
—
59197952
BCBS ALABAMA - DH2
AL
01
—
59197954
BCBS - SX
AL
01
—
593-05287
BCBS ALABAMA
AL
01
—
593-05288
BCBS OF ALABAMA
AL
01
—
E2224Z
BCBS FLORIDA
FL
01
—
P00222818
MEDICARE RAILROAD
FL
01
—
Y00MR
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/07/2006
Last updated
11/29/2011
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