Individual
JENNIFER YAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 276-8500
Mailing address
4908 KEY LIME DR, UNIT 104, JACKSONVILLE, FL 32256-3268
(954) 243-1580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
FL
Other
Enumeration date
08/18/2013
Last updated
02/10/2025
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