Individual
JESSA ELIZABETH MILES RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
880 NW 13TH ST STE 2B, BOCA RATON, FL 33486-2342
(561) 361-4075
Mailing address
880 NW 13TH ST STE 2B, BOCA RATON, FL 33486-2342
(561) 361-4075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1175088
—
363A00000X
Physician Assistant
Primary
PA9114035
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2019
Last updated
02/02/2022
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