MEDICARE: MISS JENNA JOSLYN 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
1	363A00000X	Physician Assistant	PA9121220	FL

General Provider Information

NPI Number	:	1427848688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JENNA JOSLYN PA-C

Provider Business Mailing Address
First Line	:	120 CYPRESS EDGE DR STE 202
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-8454
Country	:	US
Telephone Number	:	386-586-4280
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 CYPRESS EDGE DR STE 202
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-8454
Country	:	US
Telephone Number	:	386-586-4280
Fax Number	:	386-586-4286

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

Provider Enumeration Date	:	05/10/2025
Last Update Date	:	05/29/2026

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