License Verification

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JARICA LYNN THIGPEN

License Number: PA9108134

Data As Of 6/24/2024

Profession
Physician Assistant
License
PA9108134
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/27/2014
Address of Record
10752 Deerwood Park Blvd
Suite 100776
Coastal Mobile Medica Care
JACKSONVILLE, FL 32256
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10752 Deerwood Park Blvd Suite 100776 Coastal Mobile Medica Care
JACKSONVILLE, FL 32256
Address
4427 Emerson Street Bldg 4
JACKSONVILLE, FL 32207
Name Relationship Profession License Effective Date
AKRI, ELIEZER Supervising Prescribing Practitioner Osteopathic Physician 8887 09/06/2017
BENTLEY, THOMAS PATRICK Supervising Prescribing Practitioner Medical Doctor 94258 09/06/2017
GILLETTE, GARY WILLIAM MD Supervising Prescribing Practitioner Medical Doctor 79320 09/06/2017
HENDERSON, KERRY D Supervising Prescribing Practitioner Medical Doctor 45810 09/06/2017
HOELLE, ROBYN MARIE Supervising Prescribing Practitioner Medical Doctor 93794 09/06/2017
JOHNSON, JENNIFER BURKE Supervising Prescribing Practitioner Medical Doctor 115159 09/06/2017
JOURNEY, JONATHAN DAVID Supervising Prescribing Practitioner Medical Doctor 111997 09/06/2017
LEHMANN, JOAN BURTON MD Supervising Prescribing Practitioner Medical Doctor 132178 06/11/2024
LEONARD, THOMAS K M D Supervising Prescribing Practitioner Medical Doctor 73798 09/06/2017
LOEBIG, MARK FRANCIS Supervising Prescribing Practitioner Medical Doctor 39200 09/06/2017
MARTIN, DAVID LUTHER Supervising Prescribing Practitioner Medical Doctor 101649 09/06/2017
MONK, TAMARA Supervising Prescribing Practitioner Medical Doctor 90861 09/06/2017
MORA MONTERO, DIANA CAMILA Supervising Prescribing Practitioner Medical Doctor 127479 09/06/2017
PATEL, RAVI J Supervising Prescribing Practitioner Osteopathic Physician 14434 09/06/2017
POTTER, OLIVIA LAUREN DO Supervising Prescribing Practitioner Osteopathic Physician 13209 09/06/2017
RAWAL, AMIT R Supervising Prescribing Practitioner Medical Doctor 103948 09/06/2017
SETTY, MAHESH ANJANEYA Supervising Prescribing Practitioner Medical Doctor 88567 09/06/2017
STERN, EVAN RUSSELL Supervising Prescribing Practitioner Medical Doctor 96023 09/06/2017
SUDHIPONG, VIMORNWAN Supervising Prescribing Practitioner Medical Doctor 60722 09/06/2017
TRAN, THANG XUAN Supervising Prescribing Practitioner Medical Doctor 99476 09/06/2017

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 6/25/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.