Individual
MS. JESSLYN LEE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
02674301
NY
363A00000X
Physician Assistant
026743
NY
363A00000X
Physician Assistant
Primary
PA9117808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125431500
—
FL
01
—
91UVQ
BCBS
FL
Enumeration date
07/08/2021
Last updated
11/17/2025
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