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

Mrs. Kellie Marie Organ, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1679096424

Mrs. Kellie Marie Organ, PHYSICIANASSISTANT is a Physician Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
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Practice location Address checks out

3635 St Johns Ave
Jacksonville, FL 32205
Phone: (904) 686-7525
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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 PA9110764 (FL)

Record details

NPI number1679096424
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJuly 24, 2017
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

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