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

Mrs. Judy R Macnichols, PA-C

Individual provider Physician Assistant · NPI 1407858004

Mrs. Judy R Macnichols, PA-C is a Physician Assistant in Deland, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1070 N Stone St Ste A
Deland, FL 32720
Phone: (386) 943-7100
Fax: (386) 738-8909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA3264 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA3264 (FL)

Record details

NPI number1407858004
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2005
Last updated in NPPESFebruary 19, 2014

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