Individual
JESSICA S MAGNALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
140 6TH AVE, INDIALANTIC, FL 32903-3204
(321) 312-3501
(321) 723-9176
Mailing address
140 6TH AVE, INDIALANTIC, FL 32903-3204
(321) 312-3501
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11011428
FL
Other
Enumeration date
11/24/2020
Last updated
05/05/2023
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