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

Elizabeth Ann Secrist, PA

Individual provider Physician Assistant · NPI 1023254166

Elizabeth Ann Secrist, PA is a Physician Assistant in Jacksonville, Florida. Licensed in Florida and North Carolina. Registered with an NPI since 2008.

Licensed in
FL, NC
In the registry since
2008
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

2080 Child St
Jacksonville, FL 32214-5005
Phone: (904) 542-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9105404 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 0010-01612 (NC)

Record details

NPI number1023254166
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 19, 2008
Last updated in NPPESAugust 17, 2012

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