Provider Demographics
NPI:1427614932
Name:SHABBIR, EMILY ZINGER (PA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ZINGER
Last Name:SHABBIR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 RIVERVIEW ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-2657
Mailing Address - Country:US
Mailing Address - Phone:904-786-9600
Mailing Address - Fax:
Practice Address - Street 1:2040 RIVERVIEW ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-2657
Practice Address - Country:US
Practice Address - Phone:904-786-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-10
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant