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

Jasmine Mahboob, MMS, PA-C

Individual provider Physician Assistant · NPI 1053262485

Jasmine Mahboob, MMS, PA-C is a Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1714 N Main St
Jacksonville, FL 32206-4404
Phone: (904) 354-6868
Fax: (904) 358-3067
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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 PA9121462 (FL)

Record details

NPI number1053262485
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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