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JACOB CODY HINSON

License Number: PA9108842

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9108842
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/27/2015
Address of Record
1 Shircliff Way
St. Vincent's Riverside
JACKSONVILLE, FL 32204
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
1670 ST. VINCENT'S WAY ST. VINCENT'S CLAY COUNTY
MIDDLEBURG, FL 32068
Address
4201 BELFORT ROAD ST VINCENT'S SOUTHSIDE
JACKSONVILLE, FL 32216
Address
850 E W MAIN ST LAKE BUTLER HOSPITAL
LAKE BUTLER, FL 32054
Name Relationship Profession License Effective Date
AIELLO, JAMES JOHN Supervising Prescribing Practitioner Medical Doctor 113843 06/24/2019
ALEMAN-BERMUDEZ, JAIME J Supervising Prescribing Practitioner Medical Doctor 49940 09/19/2018
ALENCASTRO PULS, HENRIQUE Supervising Prescribing Practitioner Medical Doctor 166038 08/01/2024
ALONSO, LEONARDO LAZARO Supervising Prescribing Practitioner Osteopathic Physician 6584 09/19/2018
AMIN, SHILPA KIRIT Supervising Prescribing Practitioner Medical Doctor 118558 09/19/2018
ATTLESEY, MARK GRAHAM Supervising Prescribing Practitioner Medical Doctor 71653 09/19/2018
AUGENSTEIN, W LYNN MD Supervising Prescribing Practitioner Medical Doctor 55214 06/24/2019
BAKOR, NADIA Supervising Prescribing Practitioner Medical Doctor 131303 09/19/2018
BERGER, BRADLEY ROSS MD Supervising Prescribing Practitioner Medical Doctor 51471 06/24/2019
BLAKE, STEVEN MITCHELL M D Supervising Prescribing Practitioner Medical Doctor 58519 09/19/2018
BRACE, RONALD JOHN Supervising Prescribing Practitioner Medical Doctor 120282 09/19/2018
BRYANT, LAURIE SUSAN Supervising Prescribing Practitioner Osteopathic Physician 13282 06/24/2019
CARPENTER, MICHAEL HANSON Supervising Prescribing Practitioner Medical Doctor 147520 08/10/2024
CHEANVECHAI, DAYCHA Supervising Prescribing Practitioner Medical Doctor 76415 09/19/2018
CLARE, JONATHAN Supervising Prescribing Practitioner Medical Doctor 145326 08/10/2024
CLUGSTON, CORY ROBERT Supervising Prescribing Practitioner Medical Doctor 155517 08/15/2024
COCCA, RYAN ANDREW Supervising Prescribing Practitioner Medical Doctor 163218 08/12/2024
COLEMAN, GIA Supervising Prescribing Practitioner Medical Doctor 154246 08/12/2024
DAVIS, DAVID RICHARD Supervising Prescribing Practitioner Medical Doctor 96442 09/19/2018
DELBIANCO, JOHN DUBOIS Supervising Prescribing Practitioner Medical Doctor 166448 08/15/2024
DEVOS, ELIZABETH LOUISE Supervising Prescribing Practitioner Medical Doctor 96476 08/10/2024
DIETRICH, WILLIAM GERARD MD Supervising Prescribing Practitioner Medical Doctor 55253 06/24/2019
ERASO, DANIEL Supervising Prescribing Practitioner Medical Doctor 135891 08/10/2024
ESCOBAR MEDINA, MICHELLE MARIE Supervising Prescribing Practitioner Medical Doctor 153079 08/15/2024
EUWEMA, MICHAEL SCOTT Supervising Prescribing Practitioner Medical Doctor 91648 09/19/2018
FARR, JORDAN TAYLOR Supervising Prescribing Practitioner Osteopathic Physician 15015 09/19/2018
FINKLEA, TERI LYNN Supervising Prescribing Practitioner Medical Doctor 115273 06/24/2019
FRALEY, PAUL RICHARD Supervising Prescribing Practitioner Medical Doctor 134133 08/12/2024
FREDERICKSEN, KIM ANN Supervising Prescribing Practitioner Medical Doctor 126793 08/12/2024
GAGE, CHRISTINE NICOLE Supervising Prescribing Practitioner Osteopathic Physician 18019 08/15/2024
GHALI, SAMA Supervising Prescribing Practitioner Medical Doctor 147065 08/12/2024
GOODFRIEND, STEVEN DAVID Supervising Prescribing Practitioner Medical Doctor 84608 09/19/2018
GYARMATHY, RAYMOND HOWARD Supervising Prescribing Practitioner Medical Doctor 53513 09/19/2018
HAROLD, KELVIN JAMES Supervising Prescribing Practitioner Medical Doctor 122392 06/24/2019
HESTER, ZACHARY Supervising Prescribing Practitioner Medical Doctor 141445 08/12/2024
HOIDA, JEFFREY SCOTT MD Supervising Prescribing Practitioner Medical Doctor 136257 06/24/2019
HOIDA, SHIELDS DUSS Supervising Prescribing Practitioner Medical Doctor 125526 04/17/2019
HUMPHRIES, JERRY FRANKLIN JR Supervising Prescribing Practitioner Medical Doctor 112733 09/19/2018
JARAMILLO, DAVID HERNANDO Supervising Prescribing Practitioner Medical Doctor 96063 07/25/2019
JENKINS, FREDERICK LUCAS Supervising Prescribing Practitioner Medical Doctor 83245 09/19/2018
JOHNSON, JENNIFER BURKE Supervising Prescribing Practitioner Medical Doctor 115159 09/19/2018
JOHNSTONE, CHRISTINE LYN Supervising Prescribing Practitioner Medical Doctor 97925 06/24/2019
KHADPE, JAY Supervising Prescribing Practitioner Medical Doctor 126242 08/12/2024
KING, KENNETH Supervising Prescribing Practitioner Osteopathic Physician 8648 09/19/2018
KINMAN, ISAAC MITCHELL Supervising Prescribing Practitioner Osteopathic Physician 15575 06/24/2019
KOURY, RONALD FORREST D O Supervising Prescribing Practitioner Osteopathic Physician 8090 09/19/2018
LAMOND, RYAN DANIEL Supervising Prescribing Practitioner Medical Doctor 106090 09/19/2018
LUCEY, PAUL D MD Supervising Prescribing Practitioner Medical Doctor 50050 06/24/2019
MANNIX, ALEXANDRA LEIGH Supervising Prescribing Practitioner Medical Doctor 135601 08/12/2024
MANTHA, KALYAN C Supervising Prescribing Practitioner Medical Doctor 122523 06/24/2019
MARTZ, BLAKE AUTRY Supervising Prescribing Practitioner Osteopathic Physician 19896 08/15/2024
MATHAI, ALEX Supervising Prescribing Practitioner Medical Doctor 122229 09/19/2018
MCBRIDE JOHNSON, ERIN RUTH Supervising Prescribing Practitioner Medical Doctor 110283 06/24/2019
MENZE, ROGER MICHEEL Supervising Prescribing Practitioner Medical Doctor 68199 09/19/2018
MOIR, PAUL A Supervising Prescribing Practitioner Medical Doctor 76950 06/24/2019
MYHRER, ERIK Supervising Prescribing Practitioner Medical Doctor 96634 06/24/2019
NIPPERT, JUSTIN ALAN Supervising Prescribing Practitioner Osteopathic Physician 17348 08/15/2024
OH, JOHN Supervising Prescribing Practitioner Medical Doctor 161597 08/15/2024
OLIVER, RADAMES ALBERTO Supervising Prescribing Practitioner Medical Doctor 67906 09/19/2018
PANAITESCU, VLAD Supervising Prescribing Practitioner Osteopathic Physician 17560 08/20/2024
PANDEY, AMAN Supervising Prescribing Practitioner Medical Doctor 156224 08/12/2024
PETERSEN, COURTNEY Supervising Prescribing Practitioner Medical Doctor 162748 08/12/2024
PETERSON, MICHAEL DAVID Supervising Prescribing Practitioner Osteopathic Physician 13490 06/24/2019
PULS, ASHLEY ERIN Supervising Prescribing Practitioner Medical Doctor 167999 08/01/2024
QUADER, MOHAMMED AZIZUL Supervising Prescribing Practitioner Medical Doctor 91402 09/19/2018
RASHID, SHAHNAZ Supervising Prescribing Practitioner Medical Doctor 147435 08/12/2024
REZNICSEK, DANIELLE RENEE MD Supervising Prescribing Practitioner Medical Doctor 85463 06/24/2019
RONEY, NATHAN Supervising Prescribing Practitioner Medical Doctor 159192 08/12/2024
SAPOLSKY, JEFFREY HOWARD MD Supervising Prescribing Practitioner Medical Doctor 68324 06/24/2019
SCHARE, ANDREW IRA Supervising Prescribing Practitioner Medical Doctor 80137 06/24/2019
SCHMIDT, ANDREW CHRISTOPHER Supervising Prescribing Practitioner Osteopathic Physician 12712 08/12/2024
SEGARRA-SALCEDO, ANDREA ALEXANDRA Supervising Prescribing Practitioner Medical Doctor 154732 08/15/2024
SHAH, MICHAEL Supervising Prescribing Practitioner Medical Doctor 127108 06/24/2019
SHARP, PHILIP R Supervising Prescribing Practitioner Medical Doctor 22975 06/24/2019
SLOTT, EDWIN FREDERICK Supervising Prescribing Practitioner Medical Doctor 120515 09/19/2018
STERKA, DAVID GEORGE JR Supervising Prescribing Practitioner Medical Doctor 125380 06/24/2019
STERN, NEIL DAVID Supervising Prescribing Practitioner Osteopathic Physician 8723 09/19/2018
STORCH, IAN DAVID Supervising Prescribing Practitioner Medical Doctor 132808 08/12/2024
SUCHENSKI, MAUREEN Supervising Prescribing Practitioner Medical Doctor 137483 08/12/2024
SWANSON, TERRELL E JOHN Supervising Prescribing Practitioner Medical Doctor 111251 09/19/2018
TANA, CHRISTOPHER FRANK Supervising Prescribing Practitioner Osteopathic Physician 10435 08/12/2024
THOMAS, STEPHANIE A Supervising Prescribing Practitioner Osteopathic Physician 17031 08/15/2024
TRACY, MICHAEL CHARLES Supervising Prescribing Practitioner Medical Doctor 73346 09/19/2018
V ZQUEZ-FUSTER, NGEL MANUEL Supervising Prescribing Practitioner Medical Doctor 162918 08/15/2024
VASUDEVA, SANJAY Supervising Prescribing Practitioner Medical Doctor 113428 09/19/2018
VIHLEN, ANDREW SCOTT Supervising Prescribing Practitioner Medical Doctor 109676 06/24/2019
WALLACE, MOIRA PETIRS Supervising Prescribing Practitioner Medical Doctor 133941 09/19/2018
WARD, JILL ANGELA Supervising Prescribing Practitioner Medical Doctor 110689 09/19/2018
WARRINGTON, STEVEN Supervising Prescribing Practitioner Medical Doctor 131907 09/19/2018
WINNINGHAM, DAVID JASON Supervising Prescribing Practitioner Osteopathic Physician 12586 09/19/2018
WOOD, STEPHANIE KAREN Supervising Prescribing Practitioner Medical Doctor 35012 09/19/2018
ZAGER, SCOTT LAWRENCE Supervising Prescribing Practitioner Medical Doctor 91062 09/19/2018
ZEATON, KARIN ELIZABETH Supervising Prescribing Practitioner Osteopathic Physician 10311 09/19/2018
ZOROVICH, ELIZABETH Supervising Prescribing Practitioner Medical Doctor 153863 08/12/2024

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/21/2024



* 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.