Individual
MRS. JESSICA MENESES JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, NNP-BC
Contact information
Practice address
4211 VAN DYKE RD, LUTZ, FL 33558-8002
(813) 786-9869
Mailing address
1714 WEAVER DR, LUTZ, FL 33559-3338
(813) 259-8812
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
9190790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000363100
—
FL
01
—
Y125D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/23/2007
Last updated
03/29/2010
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