Individual
JESSE QUINN OWENS BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8823 SAN JOSE BLVD STE 209, JACKSONVILLE, FL 32217-4288
(904) 404-7044
(904) 329-2303
Mailing address
8823 SAN JOSE BLVD STE 209, JACKSONVILLE, FL 32217-4288
(904) 404-7044
(904) 329-2303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9102404
PHYSICIAN ASSISTANT LIC.
FL
Enumeration date
05/01/2007
Last updated
01/19/2020
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