MS. Jennifer Christine Modesto, BS, PA-C
MS. Jennifer Christine Modesto, BS, PA-C is a Physician Assistant in Melbourne, Florida. Qualified in 2006, 20 years ago. Practices with David V Spurlin, MD, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 20
- Licensed in
- MI
- In the registry since
- 2006
What do these letters mean?
Practice location Address checks out
7960 N Wickham Rd Ste 103Melbourne, FL 32940-8096
Phone: (321) 428-4737
Fax: (321) 241-6457
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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 5601004881 (MI) |
|---|
Record details
| NPI number | 1750483244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BS , PA-C |
| Sole proprietor | No |
| NPI enumerated | September 4, 2006 |
| Last updated in NPPES | December 17, 2020 |
| Certification date | December 11, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | David V Spurlin, M.D., P.L.L.C. — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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