Individual
JESSICA MICHELE ROCKSWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1419 S 6TH ST, MACCLENNY, FL 32063-4624
(904) 653-1822
(904) 259-1225
Mailing address
PO BOX 606, GLEN ST MARY, FL 32040-0606
(904) 653-1818
(904) 653-1814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001673300
—
FL
Enumeration date
11/06/2009
Last updated
02/12/2015
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