Individual
JESSICA DAYANA PORTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Contact information
Practice address
701 NW 13TH ST, BOCA RATON, FL 33486-2305
(561) 955-6400
(561) 955-6618
Mailing address
701 NW 13TH ST FL 2, BOCA RATON, FL 33486-2305
(561) 955-6400
(561) 955-6614
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 2857082
FL
Other
Enumeration date
10/04/2005
Last updated
12/13/2021
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