License Verification

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KRISTEN NICOLE GIORDANO

License Number: PA9106324

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9106324
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
11/14/2011
Address of Record
8375 Dix Ellis Trail
Suite 20
JACKSONVILLE, FL 32256
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
4901 RICHARD STREET SPECIALTY HOSPITAL JACKSONVILLE
JACKSONVILLE, FL 32207
Address
2001 KINGSLEY AVENUE ORANGE PARK MEDICAL CENTER
ORANGE PARK, FL 32073
Address
1250 SOUTH 18TH STREET BAPTIST MEDICAL CENTER-NASSAU
FERNANDINA BEACH, FL 32034
Address
800 PRUDENTIAL DRIVE BASPTIST MEDICLAL CENTER
JACKSONVILLE, FL 32207
Address
1350 13TH AVENUE SOUTH BAPTIST MEDICAL CENTER-BEACHES
JACKSONVILLE BEACH, FL 32250
Address
3599 UNIVERSITY BLVD., S. BROOKS REHABILITATION HOSPITAL
JACKSONVILLE, FL 32216
Address
14550 ST. AUGUSTINE RD BAPTIST MEDICAL CENTER- SOUTH
JACKSONVILLE, FL 32258
Name Relationship Profession License Effective Date
ALSAHLI, HAITHAM Supervising Prescribing Practitioner Medical Doctor 140232 08/28/2019
BEARDSLEY, SHANNON LEE Supervising Prescribing Practitioner Medical Doctor 70257 07/18/2022
CUNNINGHAM, JAMES CHRISTOPHER Supervising Prescribing Practitioner Osteopathic Physician 10705 08/28/2019
JOHN, CHRISTOPHER M Supervising Prescribing Practitioner Osteopathic Physician 15940 08/28/2019
JOHNSON, CHARLES EDWARD Supervising Prescribing Practitioner Medical Doctor 110710 10/28/2022
LAHIJI, KIAN Supervising Prescribing Practitioner Medical Doctor 136700 11/09/2018
MAKAR, RYAN AZIZ Supervising Prescribing Practitioner Medical Doctor 100244 09/08/2016
PARIKH, PANKIT TUSHAR Supervising Prescribing Practitioner Medical Doctor 128791 02/06/2019
TERHAAR, KENNETH Supervising Prescribing Practitioner Medical Doctor 134708 03/18/2019
TUTTLE, MITCH CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 141405 11/27/2019

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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 12/22/2024



* 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.