Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blayne O Yerby, PA

Individual provider Physician Assistant · NPI 1497295505

Blayne O Yerby, PA is a Physician Assistant in Macclenny, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1419 S 6th St
Macclenny, FL 32063-4624
Phone: (904) 653-1822
Fax: (904) 259-1225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110127 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 9110127 (FL)

Record details

NPI number1497295505
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 8, 2017
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021

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