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

Kristen Elaine Tucker, PA-C

Individual provider Medical Physician Assistant · NPI 1457785263

Kristen Elaine Tucker, PA-C is a Medical Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
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

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone: (904) 308-7497
Fax: (954) 858-0404
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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 PA9104439 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9104439 (FL)

Record details

NPI number1457785263
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2013
Last updated in NPPESJune 10, 2014

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