Individual
JESSICA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14 W JORDAN ST, SUITE C, PENSACOLA, FL 32501-1736
(850) 434-0077
(850) 434-0220
Mailing address
4101 W NAVY BLVD, APT 2305, PENSACOLA, FL 32507-1281
(850) 346-1427
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9345910
FL
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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