Healthcare Provider Details

I. General information

NPI: 1922888221
Provider Name (Legal Business Name): JAMES L SCHNELL PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 W 8TH ST
JACKSONVILLE FL
32209-6533
US

IV. Provider business mailing address

PO BOX 44008
JACKSONVILLE FL
32231-4008
US

V. Phone/Fax

Practice location:
  • Phone: 904-633-0797
  • Fax: 904-244-9842
Mailing address:
  • Phone: 904-383-1015
  • Fax: 904-244-8172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA117990
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: