Nicole Gannon, PA-C
Nicole Gannon, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2013, 13 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.
- Years since qualifying
- 13
- Licensed in
- FL
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
4500 San Pablo Rd SJacksonville, FL 32224-1865
Phone: (904) 953-2000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA9107493 (FL) |
|---|---|
| Independent Medical Examiner Physician | Taxonomy 202C00000X · Licence PA9107493 (FL) |
Record details
| NPI number | 1467881615 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | November 8, 2013 |
| Last updated in NPPES | January 22, 2021 |
| Certification date | January 22, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Mayo Clinic Jacksonville — 1581 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |