Boydston, Jessica

Boydston, Jessica is an individual health care provider with primary practice located at 1222 S Orange Ave , Orlando FL 32806-1215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Boydston, Jessica can be contacted via phone (321) 841-6444.

Contact Information

Primary practice address
1222 S Orange Ave Orlando FL 32806-1215
Phone: (321) 841-6444
Fax: (407) 650-1307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9368796 Florida

Profile Details

NPI number 1952877292
LBN Legal business name Boydston, Jessica
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2018
Last updated Sep 11th, 2019 - about 6 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 1952877292 NPPES
Florida MEDICAID 101307400

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