Michael, Jessie L

Michael, Jessie L is an individual health care provider with primary practice located at 2824 Enterprise Rd , Orange City FL 32763-8428. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Michael, Jessie L can be contacted via phone (386) 774-7411.

Contact Information

Primary practice address
2824 Enterprise Rd Orange City FL 32763-8428
Phone: (386) 774-7411
Fax: (386) 774-7412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 11021559 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11021559 Florida

Profile Details

NPI number 1699494245
LBN Legal business name Michael, Jessie L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2022
Last updated May 1st, 2023 - about last year

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 1699494245 NPPES
Florida MEDICAID 115491600
Florida Other APRN11021559

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