Herron, Jessica L

Herron, Jessica L is an individual health care provider with primary practice located at 400 N Ashley Dr Ste 1625, Tampa FL 33602-4300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Herron, Jessica L can be contacted via phone (813) 289-6597.

Contact Information

Primary practice address
400 N Ashley Dr Ste 1625 Tampa FL 33602-4300
Phone: (813) 289-6597
Fax: (865) 769-3454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X ARNP 9224439 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9224439 Florida

Profile Details

NPI number 1568741320
LBN Legal business name Herron, Jessica L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2011
Last updated Nov 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 1568741320 NPPES
Florida MEDICAID 004012000

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