Individual
JESSICA KATHERINE FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 E 6TH ST STE 602, PANAMA CITY, FL 32401-3645
(850) 804-3850
(850) 804-7011
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118379
FL
Other
Enumeration date
04/12/2024
Last updated
07/15/2025
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