COURTNEY RAE CRISWELL

JACKSONVILLE, FL
NPI1629535307
Former NameCOURTNEY R DAVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9111862)
Additional Taxonomies363A00000X Physician Assistant
(Licence: GA  10406)
Enumeration Date2019-02-28
Last Update Date2024-09-20
Business Address
COURTNEY RAE CRISWELL PA-C
5191 FIRST COAST TECH PKWY FL 3
JACKSONVILLE, FL 32224-0609
Phone number: 904-223-3321
Mailing Address
COURTNEY RAE CRISWELL PA-C
5191 FIRST COAST TECH PKWY FL 3
JACKSONVILLE, FL 32224-0609
Phone number: 904-223-3321