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

MS. Carly Little Conner, PA-C

Individual provider Physician Assistant · NPI 1366727596

MS. Carly Little Conner, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2011, 15 years ago. Practices with St Vincent's Full Service Urgent Care, LLC, a 27-clinician group. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2011
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

807 Childrens Way Nemours Childrens Clinic
Jacksonville, FL 32207-8426
Phone: (904) 697-3600
Fax: (904) 697-3927
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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 PA9106018 (FL)

Record details

NPI number1366727596
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2011
Last updated in NPPESJune 30, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Vincent'S Full Service Urgent Care, Llc — 27 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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