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

Miss. Julian Lanor Glassman, PA-C

Individual provider Physician Assistant · NPI 1477382992

Miss. Julian Lanor Glassman, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2024, 2 years ago. Practices with Park Avenue Dermatology PA, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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

15255 Max Legget Pkwy Ste 5100
Jacksonville, FL 32218-7274
Phone: (904) 541-0315
Fax: (904) 541-0316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15255 Max Legget Pkwy Ste 5000, Jacksonville, FL 32218-7274 — (904) 541-0315

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9119015 (FL)

Record details

NPI number1477382992
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Park Avenue Dermatology Pa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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