D'Angelo, Jessica

D'Angelo, Jessica is an individual health care provider with primary practice located at 9611 W Broward Blvd , Plantation FL 33324-2334. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. D'Angelo, Jessica can be contacted via phone (954) 924-7000.

Contact Information

Primary practice address
9611 W Broward Blvd Plantation FL 33324-2334
Phone: (954) 924-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11004097 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11004097 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209010986 Illinois

Profile Details

NPI number 1265843692
LBN Legal business name D'Angelo, Jessica
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2014
Last updated Sep 8th, 2023 - about 2 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 1265843692 NPPES
Illinois Other F400398633 PTAN

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