# JESSY J CRANIAL PROSTHETICS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396607073
- **Authorized official:** JANELLE JOHN (OWNER)
- **Authorized official phone:** (813) 369-2561

## Contact information

- **Practice address:** 5005 W LAUREL ST, TAMPA, FL 33607-3886
- **Practice address phone:** (888) 641-7251
- **Mailing address:** 5005 W LAUREL ST, TAMPA, FL 33607-3886
- **Mailing address phone:** (888) 641-7251
- **Mailing address fax:** (813) 560-4201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2025
- **Last updated:** 12/01/2025