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What is a Physician Assistant?
A Physician Assistant is a master's-degree-prepared healthcare professional who practices medicine with a supervising physician. Their extensive education, experience and licensing allow them to diagnose and treat the same medical conditions as their physician supervisors. Today, board-certified PAs are an integral part of our healthcare system. As part of their responsibilities, PAs perform comprehensive dermatological examinations, diagnose and treat illnesses, perform biopsies and other dermatological procedures, order and interpret lab tests, and (in most states, including Florida) prescribe medications.
What is a Nurse Practitioner?
An Advanced Registered Nurse Practitioner (ARNP) is a master's- or doctorate-degree-prepared Registered Nurse who is qualified to function independently. ARNPs have completed extensive additional education and training, and they have an expanded scope of practice over the traditional RN role. They practice in collaboration and consultation with physicians, focusing on health promotion, disease prevention, health education and counseling in addition to clinical care. ARNPs may conduct physical examinations, diagnose illnesses, order, interpret and perform diagnostic tests or procedures such as biopsies, and develop treatment plans including the prescription of medications.
Clarence E. Boudreaux, M.D.
Dr. Boudreaux founded Beaches Dermatology in 1989 in Jacksonville Beach, Florida. As the practice grew, a new office was built in Ponte Vedra Beach in 1997. Since that time, Beaches Dermatology has expanded to include offices in Fernandina and St. Augustine.
Dr. Boudreaux is a native of New Orleans. He majored in biology at the University of New Orleans. As an active member in the Tau Kappa Epsilon fraternity, he served as the president of the University of New Orleans Premedical Society. He attended Louisiana State University Medical College – Shreveport where he was awarded membership into the National Medical Honor Society, Alpha Omega Alpha, in 1984 and received his medical degree with honors in 1985. He obtained his postgraduate dermatology residency at the University of Arkansas for Medical Science and served as Chief Resident of Harvard Medical School Department of Dermatology.
Dr. Boudreaux is board-certified by the American Board of Dermatology and licensed to practice medicine and surgery by the state of Florida. He has served as president of the Jacksonville Dermatology Society and is an active member of the Florida Medical Association, Florida Society of Dermatology Surgeons, American Academy of Dermatology and the Florida Physician's Association. He has been a Clinical Assistant Professor of Dermatology at the University of Florida since 1991.
Dr. Boudreaux has served the community through volunteer work with the American Cancer Society and has donated free care to the indigent through Shand's Hospital Dermatology Clinic. He has enjoyed participating as a leader in the Boy Scouts of America. Dr. Boudreaux's interests include many outdoor activities and cycling throughout Europe.
Russell D. Metz, M.D.
Dr. Metz was born in South Carolina and majored in biology at the University of South Carolina, where he graduated magna cum laude. He received his medical degree from Emory University in Atlanta. After an internship in internal medicine at the University of Washington in Seattle, he completed his dermatology residency at the University of Michigan. At Michigan, he was awarded a Melanoma Fellowship and served as Chief Resident.
Since moving to Jacksonville in 1995, Dr. Metz has held the positions of secretary-treasurer and president of the Jacksonville Dermatology Society. He is an active member of the American Academy of Dermatology, Florida Medical Association, Florida Society of Dermatology and the Florida Physician's Association. Dr. Metz is a frequent lecturer to colleagues regarding dermatology topics.
Dr. Metz is board-certified by the American Board of Dermatology and licensed to practice medicine and surgery by the state of Florida. Dr. Metz has been practicing dermatology in the Jacksonville area since 1995 and was recently honored by Jacksonville Magazine (June 2011 issue) as one of the area's finest dermatologists.
Personally, he is married with a daughter and a son. He enjoys following professional and college sports (especially the Jaguars), exercising, watching movies and spending time with his family.
Loree Jarnutowski, Office Manager
As the Practice Manager, Ms. Jarnutowski oversees the day-to-day operations for all office locations. She possesses over twenty years of experience in dermatology as well as a strong knowledge of office management and operations.
Ms. Jarnutowski's commitment to our practice and patients is unparalleled. She is a team-oriented leader who focuses the energy of the practice toward continued success.
Ms. Jarnutowski has been a member of Medical Group Managers Association for ten years and served as vice president in 2010. She regularly attends continuing education seminars on Medical Reimbursement and Compliance, Negotiating & Managing Managed Care Contracts, HIPAA, OSHA, Medical Billing, Coding, and Collections, as well as all aspects of Medical Office Management.
Ms. Jarnutowski is dynamic and energetic with a strong desire for personal achievement. Her upbeat attitude inspires and motivates our staff.
In her free time, Ms. Jarnutowski loves to spend time with her family, friends and dogs Cooper (Yorkie) and Cody (Bischon).
Summer Zerbe, Office Supervisor, Fernandina Beach
Mrs. Zerbe was born in Jacksonville, Fla., and joined Beaches Dermatology in 2005. Mrs. Zerbe graduated from Burlington County College in 2002 with an associate degree in information systems. As the Office Supervisor, she is responsible for ensuring that the Fernandina Beach office functions smoothly and efficiently, and she assures that the high quality of care encountered in the exam rooms is met in all other aspects of the day-to-day running of the office. Mrs. Zerbe enjoys making every patient feel they have received the very best experience from our office.
In her spare time, she enjoys live sporting events with her husband. She belongs to the Florida Lure and Anglers Club and fishes year-round.
Angie McKnight, PA-C
Our cosmetic Physician Assistant, Angela McKnight PA-C, specializes in nonsurgical aesthetics and skin care. Mrs. McKnight joined Beaches Dermatology in 2005. She is both NCCPA-Board Certified and Florida State licensed. After earning her Bachelor of Science degree in biology from Concord College, Mrs. McKnight received her Bachelor of Science degree in physician assistant studies and a Master of Medical Science degree from Nova Southeastern University.
Mrs. McKnight currently performs cosmetic injections, which include BOTOX® Cosmetic, Dysport™, Juvederm XC®, Restylane® and RADIESSE®. Mrs. McKnight also performs IPL (intense pulsed light) hair removal, laser facial vein treatment and IPL for treatment of rosacea, melasma and sunspots.
Mrs. McKnight regularly attends training for new techniques and product uses. She organizes special events for cosmetic treatments and skin care products through Beaches Dermatology. Working closely with the physicians, she is available to patients for cosmetic evaluation appointments. Mrs. McKnight's artistry, wealth of aesthetic knowledge and focus on achieving her patients' cosmetic goals has made her skills highly sought-after in the aesthetic field.
Hannah Somensatto, ARNP
Mrs. Somensatto is an Advanced Registered Nurse Practitioner (A.R.N.P.) who has been a part of the Beaches Dermatology family since 2009. Raised in Indiana, she graduated with honors from the University of Michigan with a Bachelor of Science degree in movement science.
In 2004, Mrs. Somensatto relocated to Jacksonville. Refocusing her attention on the field of nursing, she continued her education at Jacksonville University, where she earned a Bachelor of Science degree in nursing. Upon graduation, she worked as an R.N. for Brooks Rehabilitation Hospital where she was promoted to charge nurse in the Brain Injury Unit. With the goal of becoming an A.R.N.P., Mrs. Somensatto furthered her education at the University of North Florida. She became a member of the Nursing Honor Society, Sigma Theta Tau, and earned a Master of Science degree in nursing, graduating with honors.
She is certified nationally by the American Nurses Credentialing Center and licensed by the Florida Board of Nursing. She is a member of the Jacksonville Society for Dermatology Physician Assistants/Nurse Practitioners.
Jennifer Winkleman, PA-C
Mrs. Winkleman joined Beaches Dermatology in 2009. Originally from New Jersey, she received her Bachelor of Science degree in health science from Rutgers University. She continued her education through the University of Medicine and Dentistry of New Jersey's Physician Assistant Program. Since moving to Jacksonville in 1989, Mrs. Winkleman has practiced as a physician assistant in family medicine, gynecologic surgery/oncology and dermatology.
Mrs. Winkleman is certified through the National Commission of Certification of Physician Assistants. She is licensed by the Florida Board of Medicine and is a member of the Florida Academy of Physician Assistants. She participates as a member of the Board for the Society of Dermatology Physician Assistants. She also participates in the Florida Society of Dermatology Physician Assistants and the Jacksonville Society of Dermatology Nurse Practitioners and Physician Assistants.
Mrs. Winkleman enjoys spending time with her family, reading and gardening. She is very active in her church and is a leader in the Girl Scouts of America.
Judi Baird, PA-C
Mrs. Baird, Certified Physician Assistant, joined Beaches Dermatology in 2006, bringing over nine years of dermatology experience to the practice. She earned her Bachelor of Science degree in health care sciences and PA studies at the University of Texas Medical Branch, Galveston, where she graduated magna cum laude. She also received a Certificate of Proficiency (Specialty) in Internal Medicine. She previously divided her time between Texas and Colorado, but she has been living in the Jacksonville/Ponte Vedra Beach area for over 30 years.
Mrs. Baird is certified by the National Commission of Certification of Physician Assistants. She is licensed by the Florida State Board of Physician Assistant Examiners and is an active member of the Florida Academy of Physician Assistants and the Dermatology Society of Physician Assistants.
Nicole Busche Earley, MPAS, PA-C
Mrs. Earley is from Coral Gables, Fla., and grew up in Jacksonville. She joined Beaches Dermatology in 2002. Mrs. Earley graduated with honors with a Bachelor of Science degree in biology from the University of North Florida and also a Bachelor of Science degree in physician assistant studies from South University. She earned a Master of Science degree in dermatology from the University of Nebraska Medical Center. She was a Georgia Association of Physician's Assistants Students of the Year Finalist and Student of the Year for South University. She served as a delegate to the American Academy of Physician Assistants House of Representatives.
Mrs. Earley is a member of FAPA and Jacksonville Society for Dermatology Physician Assistances/ Nurse Practitioners. In the past, she was an independent contractor P.A. for Sea School of the Coast Guard, as well as an Adjunct Professor of Anatomy and Physiology at Sandford-Brown Institute. She stays current in dermatology and general medicine by attending local, state and national conferences while she continues to be an avid reader of medical journals.
Mrs. Earley enjoys the ability of a P.A. to be a healthcare provider, as well as a wife and mother. She is very proud of her three children—boy/girl twins and baby boy. She likes going to the YMCA with the kids, rollerblading and running. Hobbies include reading her Kindle and cooking. She is also a self-proclaimed TV and movie junkie!
Sara J. Wagner, MPAS, PA-C
Mrs. Wagner joined Beaches Dermatology in 2010. She brings with her four years of dermatology experience. Prior to specializing in dermatology, Mrs. Wagner worked with a plastic surgeon performing non-invasive cosmetic procedures, including Botox, dermal fillers, as well as the use of multiple lasers.
Mrs. Wagner's formal education includes graduating from Colby College in Waterville, Maine, with a Bachelor of Arts degree in biology/pre-med. Following this, she was employed by Pfizer Inc. as a Professional Healthcare Representative in the Northeast. She later went on to graduate school at the University of New England, where she earned a Master of Science degree in physician assistant studies.
Mrs. Wagner is a member of the Society of Dermatology Physician Assistants, the Florida Association of Physician Assistants and the American Academy of Physician Assistants.
In her spare time, Mrs. Wagner enjoys spending time with her husband and young son.
103 B Solana Road
Ponte Vedra, FL 32082
1545 S. 14th St.
Fernandina Beach, FL 32034
111 Nature Walk Parkway
Saint Augustine, FL 32092