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

Jacquelyn Freeman, PA

Individual provider Physician Assistant · NPI 1235596461

Jacquelyn Freeman, PA is a Physician Assistant in Jacksonville, Florida. Qualified in 2015, 11 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2016
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

4205 Belfort Rd Ste 1100
Jacksonville, FL 32216
Phone: (904) 450-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 — (904) 223-3321
  • 2550 Park St Ste B, Jacksonville, FL 32204-4518 — (904) 223-3321

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9109326 (FL)

Record details

NPI number1235596461
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 19, 2016
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address4205 Belfort Rd Ste 1100, Jacksonville, FL 32216-5876

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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