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Individual

MS. JESSICA R SASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
171 W LOWRY LN, LEXINGTON, KY 40503-3018
(859) 334-1550
(877) 471-2996
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45562
KS
363LF0000X
Family Nurse Practitioner
Primary
3008355
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002100
MEDICARE - PTAN
KS
05
200254250A
KS
05
200254250K
KS
Enumeration date
01/19/2006
Last updated
08/06/2026
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