Individual
JESSIE DUPINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
960 ROCKY BRANCH RD, MONTICELLO, FL 32344-2706
(850) 342-0115
(850) 342-0123
Mailing address
1255 W WASHINGTON ST, MONTICELLO, FL 32344-1128
(850) 342-0170
(850) 342-0314
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN798931
FL
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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