License Verification

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CHRISTELLE AMMONS

License Number: PA9111372

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9111372
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/10/2018
Address of Record
1301 Palm Avenue
JACKSONVILLE, FL 32207
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
1824 King Street Suite 200
JACKSONVILLE, FL 32204
Name Relationship Profession License Effective Date
CHING-TISMAL, KAREN BEATRICE SALUD Supervising Prescribing Practitioner Medical Doctor 149067 02/01/2024
CLARK, SARA ELIZABETH MD Supervising Prescribing Practitioner Medical Doctor 119747 10/20/2020
JANFAZA, MONA Supervising Prescribing Practitioner Medical Doctor 160025 02/19/2024
JOHNSON, CATHRYN MCGILL Supervising Prescribing Practitioner Medical Doctor 150274 07/05/2023

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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 11/22/2024



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** 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.


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