Individual
MRS. JESSICA MACINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-6627
(305) 243-8796
Mailing address
1611 NW 12TH AVE, BOX016960 M851, MIAMI, FL 33136-1005
(305) 243-7688
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 9171324
FL
Other
Enumeration date
01/28/2008
Last updated
02/03/2014
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