# JACQUELINE G YORK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407925126
- **Gender:** F
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA9100693 | FL | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 11/29/2011

## 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 |