Individual
JESSICA WHEELEY MCCARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 22ND AVE N, ST PETERSBURG, FL 33704-3113
(727) 895-1515
Mailing address
502 S FREMONT AVE, APT 818, TAMPA, FL 33606-2068
(727) 410-9830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9109022
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9109022
FL
Other
Enumeration date
09/17/2015
Last updated
08/25/2016
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