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Individual

JARICA THIGPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
836 PRUDENTIAL DR STE 1700, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32207-8344
(904) 398-0125
(904) 398-1832
Mailing address
PO BOX 40767, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32203-0767
(904) 376-3707
(904) 391-5807

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108134
FL

Other

Enumeration date
09/03/2014
Last updated
08/10/2019
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