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

Jessica Defazio, PA-C

Individual provider Physician Assistant · NPI 1003271404

Jessica Defazio, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with Lyerly Baptist Inc, a 70-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2015
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

836 Prudential Dr Ste 1400
Jacksonville, FL 32207-8340
Phone: (904) 388-6518
Fax: (904) 384-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1370 13th Ave S Ste 118, Jacksonville Beach, FL 32250-3206 — (904) 388-6518

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9113468 (FL)

Record details

NPI number1003271404
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 30, 2015
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lyerly Baptist Inc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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