License Verification

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JENNIFER NICOLE SHIFFLET

License Number: PA9112494

Data As Of 4/29/2025

Profession
Physician Assistant
License
PA9112494
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/10/2019
Address of Record
2004 Mowery Rd
Room 2212
GAINESVILLE, FL 32610
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ARNAOUTAKIS, KONSTANTINOS DEAN JOHN Supervising Prescribing Practitioner Medical Doctor 132455 12/06/2019
BACK, MARTIN ROBERT Supervising Prescribing Practitioner Medical Doctor 71212 12/06/2019
COOPER, MICHOL ALEXIS Supervising Prescribing Practitioner Medical Doctor 136836 12/06/2019
GILES, KRISTINA ANN Supervising Prescribing Practitioner Medical Doctor 120737 12/06/2019
HUBER, THOMAS STUART Supervising Prescribing Practitioner Medical Doctor 67753 12/06/2019
SHAH, SAMIR KAUSHIK Supervising Prescribing Practitioner Medical Doctor 142644 12/06/2019
SHAHID, ZAIN Supervising Prescribing Practitioner Medical Doctor 136574 08/28/2020
UPCHURCH JR, GILBERT Supervising Prescribing Practitioner Medical Doctor 134014 12/06/2019

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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 4/29/2025



* 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.


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