Provider Demographics
NPI:1225907165
Name:BATTLES, JARROD WILLIAM
Entity type:Individual
Prefix:
First Name:JARROD
Middle Name:WILLIAM
Last Name:BATTLES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BROOK STATION DR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-7575
Mailing Address - Country:US
Mailing Address - Phone:386-615-6775
Mailing Address - Fax:
Practice Address - Street 1:7 BROOK STATION DR
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-7575
Practice Address - Country:US
Practice Address - Phone:386-615-6775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant