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Jackson
Jackson
Handley
Physician assistant
Tallahassee, United States
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Florida Health Care Practitioner Data Portal
Full name
JACKSON HANDLEY
Job Title
Physician Assistant
Location
Tallahassee, FL, USA
LIC ID
15756
Current License Expiration Date
31/01/2026
Original Date
24/07/2019
Professional Rank Code
PA
Effective Date
24/07/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
LEON
Practice Location Address Line 1
1300 MICCOSUKEE ROAD
Practice Location Address Line 2
TALLAHASSEE MEMORIAL HEALTHCARE
Practice Location Address City
TALLAHASSEE
Practice Location Address State
FL
Practice Location Address Zipcode
32308
Mode Code
Prescribing
Prescribing Indicator
N
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