Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tessa Davenport Mata, PA-C

Individual provider Physician Assistant · NPI 1760021950

Tessa Davenport Mata, PA-C is a Physician Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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

7017 A C Skinner Pkwy
Jacksonville, FL 32256-6932
Phone: (904) 520-6800
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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 PA9112681 (FL)

Record details

NPI number1760021950
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 5, 2020
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020

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