Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Michelle Wooley

Individual provider Physician Assistant · NPI 1124299524

Jaclyn Michelle Wooley is a Physician Assistant in Palm Coast, Florida. Qualified in 2008, 18 years ago. Practices with Leavitt Medical Associates of Florida Inc, a 195-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
18
Licensed in
FL
In the registry since
2008

Practice location Address checks out

3 Pine Cone Dr Ste 102
Palm Coast, FL 32137-8684
Phone: (386) 864-6005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9104571 (FL)

Record details

NPI number1124299524
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2008
Last updated in NPPESJuly 3, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Leavitt Medical Associates Of Florida Inc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Palm Coast