Individual
MS. ALANA ESTORE CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U4029Y
MEDICARE PTAN
FL
Enumeration date
11/05/2005
Last updated
01/07/2011
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