ELIZABETH ANN SECRIST PA
NPI 1023254166
Physician Assistant in Jacksonville, FL

Q: What is Elizabeth Secrist's NPI number?

The NPI number for Elizabeth Secrist is 1023254166. It was assigned to this individual provider in the NPPES registry on December 19, 2008.

Q: What is Elizabeth Secrist's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Secrist was last updated on August 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 19, 2008

2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-4677 Get Directions Write a Review

NPPES record last updated: August 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Elizabeth Ann Secrist Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH ANN SECRIST PA (NPI 1023254166) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9105404) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1023254166

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELIZABETH ANN SECRISTCredential: PA

Location Address2080 CHILD STJacksonville, FL 32214-5005

Mailing Address2080 Child StJacksonville, FL 32214-5005 · (904) 542-4677

Phone(904) 542-4677

Sole ProprietorNo

Enumeration DateDecember 19, 2008

Last NPPES UpdateAugust 17, 2012

✔ NPI 1023254166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · PA9105404✔ Licensed in NC · 0010-01612

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2080 CHILD ST, Jacksonville, FL 32214

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