ABUNDANT LIFE HEALTHCARE, PLLC
NPI 1477484764
Physician Assistant in Jacksonville, FL

Active since May 26, 2026
841 PRUDENTIAL DR STE 1219A, JACKSONVILLE, FL 32207(239) 273-5588 Get Directions Write a Review

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

About Abundant Life Healthcare, Pllc NPPES

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

ABUNDANT LIFE HEALTHCARE, PLLC (NPI 1477484764) is a healthcare organization registered as a physician assistant in Jacksonville, Florida and active in the NPI registry since May 2026. The organization lists Gabriela Harrison, Manager, as its authorized official.

NPPES Registry Identity

NPI1477484764
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameABUNDANT LIFE HEALTHCARE, PLLC
Location Address841 PRUDENTIAL DR STE 1219AJacksonville, FL 32207-8329
Mailing Address1032 E Brandon Blvd # 1769Brandon, FL 33511-5509
Organization SubpartNo
Authorized OfficialGabriela HarrisonManager · (239) 273-5588
Enumeration DateMay 26, 2026
NPPES CertifiedMay 19, 2026
NPI 1477484764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
841 PRUDENTIAL DR STE 1219A, Jacksonville, FL 32207

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Abundant Life Healthcare, PLLC's NPI number?

The NPI number for Abundant Life Healthcare, PLLC is 1477484764. It was assigned to this organization in the NPPES registry on May 26, 2026.

Where is Abundant Life Healthcare, PLLC located?

Abundant Life Healthcare, PLLC is located at 841 Prudential Dr Ste 1219A, Jacksonville, FL 32207. The listed phone number is (239) 273-5588.

What is Abundant Life Healthcare, PLLC'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 Abundant Life Healthcare, PLLC was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.