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

Katelyn Oldenburg, PA

Individual provider Physician Assistant · NPI 1457637324

Katelyn Oldenburg, PA is a Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106063 (FL)

Record details

NPI number1457637324
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2011
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

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