Jaclyn Marie Pennington Ortega, PA-C | |
1303 Mosley Dr, Lynn Haven, FL 32444-5625 | |
(850) 271-5996 | |
(850) 271-4088 |
Full Name | Jaclyn Marie Pennington Ortega |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1303 Mosley Dr, Lynn Haven, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316216492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA 9105851 (Florida) | Primary |
Mailing Address | Practice Location Address |
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Jaclyn Marie Pennington Ortega, PA-C 1303 Mosley Dr, Lynn Haven, FL 32444-5625 Ph: (850) 271-5996 | Jaclyn Marie Pennington Ortega, PA-C 1303 Mosley Dr, Lynn Haven, FL 32444-5625 Ph: (850) 271-5996 |
Jeffrey Villars, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1702 Ohio Ave, Lynn Haven, FL 32444 Phone: 850-571-5844 Fax: 850-571-5845 | |
Mr. Carlos Humberto Fernandez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1606 Tennessee Ave., Lynn Haven, FL 32444 Phone: 850-248-7925 Fax: 850-248-7928 |