Individual
JESSICA ANNE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
340 HEALD WAY STE 238, THE VILLAGES, FL 32163-6088
(866) 400-3376
(863) 709-0273
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(866) 400-3376
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11011211
FL
Other
Enumeration date
06/11/2021
Last updated
12/17/2024
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