Individual
JACQUELYN CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.6255
SC
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9106471
FL
Other
Enumeration date
01/24/2012
Last updated
05/07/2026
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