Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Grace Corcoran, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952824575

Jennifer Grace Corcoran, PA-C is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
2
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

807 Childrens Way
Jacksonville, FL 32207
Phone: (904) 697-3600
Fax: (904) 697-3927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8803 Waterfront Ter, Jacksonville, FL 32217-4600 — (904) 226-1536

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110904 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952824575
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2017
Last updated in NPPESAugust 8, 2018

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