MEDICARE: JENNIFER JAYNE LYNCH RIGGS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9102565	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00397341	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9371395	OTHER		AETNA PIN
2	592-08975	OTHER	AL	BLUE CROSS BLUE SHIELD
3	59197546	OTHER	AL	BCBS ALABAMA
4	59197955	OTHER	AL	BCBS ALABAMA - GBO
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	Y01JG	OTHER	FL	BLUE CROSS BLUE SHIELD
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053486118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER JAYNE LYNCH RIGGS PA

Provider Business Mailing Address
First Line	:	PO BOX 95590
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-0590
Country	:	US
Telephone Number	:	801-352-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1040 GULF BREEZE PKWY STE 206
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32561-7808
Country	:	US
Telephone Number	:	850-916-3700
Fax Number	:	850-916-8789

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	03/23/2026

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Directions to “ JENNIFER JAYNE LYNCH RIGGS PA” Practice Location

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