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

Jenifer D Lee, PAC

Individual provider Surgical Physician Assistant · NPI 1801140074

Jenifer D Lee, PAC is a Physician Assistant in Orange Park, Florida. Qualified in 2012, 14 years ago. Practices with Park Avenue Dermatology PA, a 13-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

906 Park Ave
Orange Park, FL 32073-4120
Phone: (904) 541-0315
Fax: (904) 541-0316
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106797 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9106797 (FL)

Record details

NPI number1801140074
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 9, 2012
Last updated in NPPESMay 17, 2019
Mailing addressPo Box 160295, Altamonte Springs, FL 32716-0295

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Park Avenue Dermatology Pa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Orange Park