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MS. LAUREL ELIZABETH HERRON PA-C
NPI 1083681357
Physician Assistant in Jacksonville, FL

Active since March 04, 2006
11761 BEACH BLVD, UFJAX - ST. JOHNS BLUFF PRIMARY CARE, JACKSONVILLE, FL 32246(904) 633-0585(904) 633-0586 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Laurel Elizabeth Herron Pa-c NPPES

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

MS. LAUREL ELIZABETH HERRON PA-C (NPI 1083681357) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9101706) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1083681357
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LAUREL ELIZABETH HERRONCredential: PA-C
Location Address11761 BEACH BLVD, UFJAX - ST. JOHNS BLUFF PRIMARY CAREJacksonville, FL 32246-6615
Mailing AddressPo Box 44008, Ufjp Provider EnrollmentJacksonville, FL 32231-4008 · (904) 244-3199 · Fax (904) 244-3425
Phone(904) 633-0585
Fax(904) 633-0586
Sole ProprietorNo
Enumeration DateMarch 4, 2006
Last NPPES UpdateJanuary 26, 2016
✔ NPI 1083681357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9101706
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.
11761 BEACH BLVD, Jacksonville, FL 32246
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Other Identifiers 4

Medicare PINE6288ZFL
Medicare UPINP41375FL
Medicaid2911078-00FL
Medicare PIN970021909FL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN DANIELA RIZA ARNP
Nurse Practitioner (Adult Health)
11761 BEACH BLVD, STE 8
JACKSONVILLE, FL 32246
Duval County (904) 642-3304
COASTAL PLUS MEDICAL CENTER INC
Clinic/Center (Primary Care)
11761 BEACH BLVD, SUITE 8
JACKSONVILLE, FL 32246
Duval County (904) 642-3304
DR. CLINT D. MILLER D.C.
Chiropractor (Sports Physician)
11761 BEACH BLVD, SUITE 8
JACKSONVILLE, FL 32246
Duval County (904) 642-3304
COASTAL CARE MEDICAL CENTER INC
Family Medicine
11761 BEACH BLVD, SUITE 8
JACKSONVILLE, FL 32246
Duval County (904) 642-3304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel Herron's NPI number?

The NPI number for Laurel Herron is 1083681357. It was assigned to this individual provider in the NPPES registry on March 4, 2006.

Where is Laurel Herron located?

Laurel Herron practices at 11761 Beach Blvd Ufjax - St. Johns Bluff Primary Care, Jacksonville, FL 32246. The listed phone number is (904) 633-0585.

What is Laurel Herron's specialty?

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

When was this NPI record last updated?

The NPPES record for Laurel Herron was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.