Individual
JESSA NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
789 PORT CHARLOTTE DR, PONTE VEDRA, FL 32081-0531
(714) 767-4860
Mailing address
789 PORT CHARLOTTE DR, PONTE VEDRA, FL 32081-0531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1016077
FL
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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