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Individual
JESSIE L MICHAEL
Active
Individual
JESSIE L MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11021559
FL
363LP2300X
Primary Care Nurse Practitioner
11021559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115491600
—
FL
01
—
APRN11021559
STATE LICENSE
FL
Enumeration date
08/25/2022
Last updated
05/01/2023
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