Individual
JESSICA JORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15967 SW 85TH ST, MIAMI, FL 33193-3077
(305) 510-5108
Mailing address
15967 SW 85TH ST, MIAMI, FL 33193-3077
(305) 510-5108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11016739
FL
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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