Individual
JESSICA R PERICLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7859 LAKE WORTH RD, LAKE WORTH, FL 33467-3225
(954) 394-0350
Mailing address
7859 LAKE WORTH RD, LAKE WORTH, FL 33467-3225
(954) 394-0350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11014881
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11014881
FL
Other
Enumeration date
08/20/2021
Last updated
10/08/2024
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