Individual
JESSICA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 375-1212
(352) 416-0818
Mailing address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 375-1212
(352) 416-0818
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015570000
—
FL
Enumeration date
05/05/2015
Last updated
03/17/2018
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