Teplicek, Jessica Michelle

Teplicek, Jessica Michelle is an sole proprietor health care provider with primary practice located at 12216 Panama City Beach Pkwy Ste B , Panama City Beach FL 32407-2728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Teplicek, Jessica Michelle can be contacted via phone (850) 236-0488.

Contact Information

Primary practice address
12216 Panama City Beach Pkwy Ste B Panama City Beach FL 32407-2728
Phone: (850) 236-0488
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP110010019 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11001019 Florida

Profile Details

NPI number 1902368517
LBN Legal business name Teplicek, Jessica Michelle
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2019
Last updated Apr 6th, 2021 - about 3 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 1902368517 NPPES
Florida MEDICAID 102493700

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