Jdpremium Healthcare, Llc

LBN: Jdpremium Healthcare, Llc
Jdpremium Healthcare, Llc is an health care organization with primary practice located at 14 W Jordan St Ste 1J , Pensacola FL 32501-1734. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Jdpremium Healthcare, Llc can be contacted via phone (850) 455-1252, or through Jackson, Ladaysha L via phone (850) 455-1252.

Contact Information

Primary practice address
14 W Jordan St Ste 1J Pensacola FL 32501-1734
Phone: (850) 455-1252
Fax: (844) 683-8754
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Ladaysha L Advanced Practice Registered Nurse (APRN)
Phone: (850) 455-1252

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME57721 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9361683 Florida

Profile Details

NPI number 1538557608
LBN Legal business name Jdpremium Healthcare, Llc
DBA Doing business as
Authorized official Jackson, Ladaysha L Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2014
Last updated Sep 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538557608 NPPES
Florida MEDICAID 015085700

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