Mazzariello, Jessica

Mazzariello, Jessica is an individual health care provider with primary practice located at 1300 Miccosukee Rd , Tallahassee FL 32308-5054. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Mazzariello, Jessica can be contacted via phone (850) 431-0170.

Contact Information

Primary practice address
1300 Miccosukee Rd Tallahassee FL 32308-5054
Phone: (850) 431-0170
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9186407 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X APRN9186407 Florida

Profile Details

NPI number 1033351176
LBN Legal business name Mazzariello, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2009
Last updated Apr 10th, 2019 - about 5 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 1033351176 NPPES
Florida MEDICAID 001271900
Florida MEDICAID 535535552E

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