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

Kaleigh Freshcorn, PA-C

Individual provider Physician Assistant · NPI 1508799685

Kaleigh Freshcorn, PA-C is a Physician Assistant in Jacksonville, Florida. Works from 2 locations. Licensed in Florida.

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

2804 Saint Johns Bluff Rd S Ste 109
Jacksonville, FL 32246-3777
Phone: (904) 727-9123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 183 Landrum Ln Ste 201, Ponte Vedra Beach, FL 32082-3838 — (904) 727-9123

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9121770 (FL)

Record details

NPI number1508799685
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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