License Verification

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DANIELLE FENNELL DIXON

License Number: PA9114762

Data As Of 6/23/2024

Profession
Physician Assistant
License
PA9114762
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/28/2021
Address of Record
Mayo Clinic
4500 San Pablo Rd
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ARDON, TINA PHILLIPS Supervising Prescribing Practitioner Medical Doctor 116122 01/11/2022
BRINKER, TODD MICHAEL Supervising Prescribing Practitioner Medical Doctor 76608 01/07/2022
CARBO, ANISLEIDY Supervising Prescribing Practitioner Medical Doctor 150736 01/10/2022
CRICK, JEFFERY LOUIS Supervising Prescribing Practitioner Osteopathic Physician 10009 01/07/2022
DEMATAS, KRISTINA FIEDLER Supervising Prescribing Practitioner Osteopathic Physician 11332 01/13/2022
FARFORD, BRYAN ASHTON D O Supervising Prescribing Practitioner Osteopathic Physician 9403 01/10/2022
FILMALTER, SARA EVELYN Supervising Prescribing Practitioner Medical Doctor 111186 01/17/2022
GARRISON, STEPHANIE BROOKE Supervising Prescribing Practitioner Medical Doctor 79124 01/10/2022
GRIMARD, BRIAN HUGHES Supervising Prescribing Practitioner Medical Doctor 70881 01/07/2022
HAGA, CLAIRE BREY WHITE Supervising Prescribing Practitioner Medical Doctor 129315 01/11/2022
JACKSON, KENSLER DAWSON JR Supervising Prescribing Practitioner Medical Doctor 81097 01/10/2022
KINASZCZUK, ANJA MARIE DO Supervising Prescribing Practitioner Osteopathic Physician 16004 01/11/2022
MCBRAYER, R HILL Supervising Prescribing Practitioner Medical Doctor 74403 01/11/2022
MCMULLAN, STEPHEN Supervising Prescribing Practitioner Medical Doctor 141938 01/11/2022
MONNIER, JOHN EDWARD Supervising Prescribing Practitioner Medical Doctor 77020 01/07/2022
RAUSCHENBERGER, ELIZABETH Supervising Prescribing Practitioner Medical Doctor 91094 01/17/2022
RIFFE, IZABELA ZOFIA Supervising Prescribing Practitioner Medical Doctor 71474 01/10/2022
ROBERTS, PAUL FRANK Supervising Prescribing Practitioner Medical Doctor 74196 01/11/2022
SANCHEZ-LANCE, MARISOL SOL Supervising Prescribing Practitioner Osteopathic Physician 11769 01/07/2022

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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 6/23/2024



* 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.