Abundant Life Healthcare, PLLC
NPI 1477484764ActiveOrganization· Physician Assistant· Jacksonville, FL
Physician Assistant in Jacksonville, Florida, registered in NPPES in May 2026. The authorized official on file is Gabriela Harrison, PA-C, Manager.
Overview
| NPI | 1477484764 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2026 |
| Last updated in NPPES | May 26, 2026 |
| Certified by provider | May 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physician Assistant providers in Jacksonville
- 1053065540
- 1740622547
- 1821367764
- 1801096797
- 1356121206
- 1104694173
- 1760293021
- 1619807864
- 1518233378
- 1154101236
- 1629531306
- 1710412713