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NPI Code Detail

MEDICARE: ALYSSA HAYDEN PA-C

MEDICARE: ALYSSA HAYDEN PA-C
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
1363A00000XPhysician AssistantPA9111451FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265915177
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA HAYDEN PA-C
Provider Business Mailing Address
First Line : 655 W 8TH ST # C3
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-6511
Country : US
Telephone Number : 904-244-3508
Fax Number : 904-244-4301
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8211
Country : US
Telephone Number : 904-244-3508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2018
Last Update Date : 10/31/2022

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Directions to “ ALYSSA HAYDEN PA-C” Practice Location

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