Provider Demographics
NPI:1851194831
Name:DANIEL, MIKEL JEAN CRESS (PA)
Entity type:Individual
Prefix:
First Name:MIKEL JEAN
Middle Name:CRESS
Last Name:DANIEL
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:MIKEL JEAN
Other - Middle Name:DERLA
Other - Last Name:CRESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:140 SWEETEN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1526
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8149 POINT MEADOWS WAY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9111
Practice Address - Country:US
Practice Address - Phone:877-260-0352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant