Individual
JASON T WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2627 RIVERSIDE AVE, SUITE 300, JACKSONVILLE, FL 32204-4712
(904) 634-0640
(904) 674-6155
Mailing address
2627 RIVERSIDE AVE, SUITE 300, JACKSONVILLE, FL 32204-4712
(904) 634-0640
(904) 674-6155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106094
FL
Other
Enumeration date
07/27/2011
Last updated
01/03/2014
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