Search › Florida › 363A00000X
Joni Ricketts, PA-C
NPI 1437178928 · on the registry since 2006
Practice
- Address
- 10210 San Jose Blvd Ste 4
Jacksonville, FL 32257 - Phone
- (904) 990-8484
- Fax
- (904) 990-8485
- Organisation at this address
- Physician Group Holdings, Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 10210 San Jose Blvd Ste 4, Jacksonville, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida