Individual
JESSICA L LASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5314
(850) 877-2105
Mailing address
2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5314
(850) 877-2105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11003201
FL
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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