Austin, Jessica

Austin, Jessica is an individual health care provider with primary practice located at 1239 E Main St , Bartow FL 33830-5058. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Austin, Jessica can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1239 E Main St Bartow FL 33830-5058
Phone: (863) 519-0575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 9371446 Florida
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN 9371446 Florida

Profile Details

NPI number 1376953869
LBN Legal business name Austin, Jessica
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2014
Last updated Jun 16th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376953869 NPPES
Florida MEDICAID 016476600

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