Individual
ALANA MICHELLE WEATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD, SUITE 2391, JACKSONVILLE, FL 32258-7418
(904) 262-3372
(904) 262-3306
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107347
FL
Other
Enumeration date
07/08/2013
Last updated
12/09/2025
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