Individual
JESSIE NICOLE SPIGGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 MARSH HARBOR DR, RIVIERA BEACH, FL 33404-6437
(561) 768-6004
Mailing address
1931 MARSH HARBOR DR, RIVIERA BEACH, FL 33404-6437
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510410
—
FL
Enumeration date
05/14/2013
Last updated
05/14/2013
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