Butler, Jessica

Butler, Jessica is an individual health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Butler, Jessica can be contacted via phone (954) 987-2020.

Contact Information

Primary practice address
3501 Johnson St Hollywood FL 33021-5421
Phone: (954) 987-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103244 Florida

Profile Details

NPI number 1821074642
LBN Legal business name Butler, Jessica
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Oct 21st, 2008 - about 16 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 1821074642 NPPES
Florida MEDICAID 292118900

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