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

Priscilla Jacobs, PA-C

Individual provider Physician Assistant · NPI 1073109963

Priscilla Jacobs, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2020, 6 years ago. Practices with Fwc Urogynecology LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Specialties on file
2
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

6885 Belfort Oaks Pl Ste 110
Jacksonville, FL 32216-6281
Phone: (904) 652-0373
Fax: (904) 652-0378
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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 PA9114395 (FL)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Taxonomy 207VF0040X · Licence PA9114395 (FL)

Record details

NPI number1073109963
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 15, 2020
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024
Mailing address6885 Belfort Oaks Pl Ste 110, Jacksonville, FL 32216-6281

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fwc Urogynecology Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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