Provider Demographics
NPI:1811962061
Name:SCHERKENBACH, CHRISTINE WAHRMANN (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:WAHRMANN
Last Name:SCHERKENBACH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 KING ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4735
Mailing Address - Country:US
Mailing Address - Phone:904-421-5586
Mailing Address - Fax:904-389-6748
Practice Address - Street 1:1824 KING ST
Practice Address - Street 2:SUITE 200
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4735
Practice Address - Country:US
Practice Address - Phone:904-421-5586
Practice Address - Fax:904-389-6748
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA3117363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA255359082CMedicaid
FLE1347WMedicare PIN