Individual
JESSICA MIESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1134
(352) 265-5555
Mailing address
17909 NW 138TH AVE, ALACHUA, FL 32615-5211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11024638
FL
363L00000X
Nurse Practitioner
Primary
11024638
FL
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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