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JENNIFER GRACE CORCORAN PA-C
NPI 1952824575
Physician Assistant in Jacksonville, FL

Active since July 25, 2017
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 697-3600(904) 697-3927 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2018, Mar 23, 2018, Jul 25, 2017 (3 updates tracked since 2017).

About Jennifer Grace Corcoran Pa-c NPPES

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

JENNIFER GRACE CORCORAN PA-C (NPI 1952824575) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9110904) and active in the NPI registry since July 2017. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1952824575
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER GRACE CORCORANCredential: PA-C
Location Address807 CHILDRENS WAYJacksonville, FL 32207
Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4127 · Fax (904) 697-5102
Phone(904) 697-3600
Fax(904) 697-3927
Sole ProprietorNo
Enumeration DateJuly 25, 2017
Last NPPES UpdateAugust 8, 20183 updates tracked since enumeration
✔ NPI 1952824575 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
License✔ Licensed in FL · PA9110904
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
807 CHILDRENS WAY, Jacksonville, FL 32207
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Secondary Practice Location 1

Location 18803 Waterfront TerJacksonville, FL 32217-4600 · Phone (904) 226-1536

Other Identifiers 1

Medicaid024816100FL

Other Providers at the Same Location NPPES 20

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

MR. HUGH E. GRIFFENKRANZ PA-C
Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3737
JACQUELINE M NOE
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ERIC P. SHERLIN R.PH
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3601
KELLY MARIE SUMMERS ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ROBERT C SPRECHER MD
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3694
DR. DOREEN RADJENOVIC ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3759
GRACE ELIZABETH ALLEMAN SLP
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (907) 697-3600
THE NEMOURS FOUNDATION
Pharmacy (Community/Retail Pharmacy)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-4000

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 Jennifer Corcoran's NPI number?

The NPI number for Jennifer Corcoran is 1952824575. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Jennifer Corcoran located?

Jennifer Corcoran practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 697-3600.

What is Jennifer Corcoran'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 Jennifer Corcoran was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.