Individual
JESSICA LYNN MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
(305) 669-7130
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
(305) 669-7130
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9238712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006794600
—
FL
Enumeration date
04/14/2011
Last updated
12/31/2013
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