Dean, Jessica Jo
Dean, Jessica Jo is an individual health care provider with primary practice located at 301 Health Park Blvd Ste 219 , St Augustine FL 32086-5795. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Dean, Jessica Jo can be contacted via phone (904) 819-9898.Contact Information
Primary practice address
301 Health Park Blvd Ste 219
St Augustine FL 32086-5795
Phone: (904) 819-9898
Fax: (904) 819-9594
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | ARNP9349120 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | ARNP9349120 | Florida |
Profile Details
NPI number | 1720467350 |
---|---|
LBN Legal business name | Dean, Jessica Jo |
Credentials | APRN, CNM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 28th, 2015 |
Last updated | Jan 26th, 2024 - about 11 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720467350 | NPPES |
Florida | Other | LF617 | MEDICARE |
Florida | MEDICAID | 015029600 | MEDICARE |
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