Land, Jessica

Land, Jessica is an sole proprietor health care provider with primary practice located at 653 Sw Choctaw Ave , Fort White FL 32038. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Naturopath, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Land, Jessica can be contacted via phone (386) 623-3000.

Contact Information

Primary practice address
653 Sw Choctaw Ave Fort White FL 32038
Phone: (386) 623-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Naturopath 175F00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1528566353
LBN Legal business name Land, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2018
Last updated Jan 3rd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528566353 NPPES
Florida MEDICAID 022880200

Popular Providers