| Doctor Name: | JAMIE GRIFFIN HERR |
| NPI Number: | 1245427749 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA 9105359 |
| Business Practice Address: | 14010 21st St Dade City, FL - 335253915 |
| Business Phone Number: | 3525673325 |
| Business Fax Number: | 3525673385 |
| Mailing Address: | 14010 21st St, DADE CITY |
| State: | FL |
| Postal Code: | 335253915 |
| Phone Number: | 3525673325 |
| Fax Number: | 3525673385 |
| NPI Enumeration Date: | 09/28/2007 |
| NPI Last Update Date: | 03/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA 9105359 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |