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

Individual provider Surgical Physician Assistant · NPI 1336624089

Logan Alyssa Stephens, PA is a Physician Assistant in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices with Cardiothoracic and Vascular Surgical Associates PA, a 85-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
Specialties on file
2
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

3627 University Blvd S Ste 135
Jacksonville, FL 32216-4231
Phone: (904) 398-8147
Fax: (904) 400-6674
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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 PA9111646 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9111646 (FL)

Record details

NPI number1336624089
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 28, 2018
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cardiothoracic And Vascular Surgical Associates Pa — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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