Jessurun, Jackie

Jessurun, Jackie is an sole proprietor health care provider with primary practice located at 111 Nw 183Rd St Suite 500, Miami Gardens FL 33169-4537. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jessurun, Jackie can be contacted via phone (305) 892-4753.

Contact Information

Primary practice address
111 Nw 183Rd St Suite 500 Miami Gardens FL 33169-4537
Phone: (305) 892-4753
Fax: (305) 493-0814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5155284 Florida

Profile Details

NPI number 1427237973
LBN Legal business name Jessurun, Jackie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2007
Last updated Nov 1st, 2007 - about 17 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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