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

Mary K Long, PA

Individual provider Physician Assistant · NPI 1497840326

Mary K Long, PA is a Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

2627 Riverside Ave Ste 300
Jacksonville, FL 32204-4717
Phone: (904) 634-0640
Fax: (904) 634-0203
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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 PA0003154 (FL)

Record details

NPI number1497840326
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020

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