Dugan, Jessica S

Dugan, Jessica S is an sole proprietor health care provider with primary practice located at 4813 Innisbrook Ct S , Elkton FL 32033-2067. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Other Service Providers / Specialist. Agencies / Early Intervention Provider Agency is her primary health care specialty. Dugan, Jessica S can be contacted via phone (904) 874-2661.

Contact Information

Primary practice address
4813 Innisbrook Ct S Elkton FL 32033-2067
Phone: (904) 874-2661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 888731100 Florida
Other Service Providers / Specialist 174400000X 888731100 Florida

Profile Details

NPI number 1316091093
LBN Legal business name Dugan, Jessica S
Credentials ITDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Mar 5th, 2018 - about 7 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 1316091093 NPPES
Florida MEDICAID 8117420 00

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