Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica O'Sullivan Murray, PA-C

Individual provider Physician Assistant · NPI 1710421425

Jessica O'Sullivan Murray, PA-C is a Physician Assistant in Lake City, Florida. Qualified in 2022, 4 years ago. Practices with Miguel J Tepedino MD PA, a 4-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2016
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

1722 SW Newland Way
Lake City, FL 32025-6915
Phone: (386) 754-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3801 Sw 13th St, Gainesville, FL 32608-3542 — (850) 612-6526

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1710421425
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 14, 2016
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Miguel J Tepedino Md Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake City