Individual
JESSICA ANN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 823-1234
Mailing address
603 7TH ST S STE 360, ST PETERSBURG, FL 33701-4732
(727) 553-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110329
FL
363AM0700X
Medical Physician Assistant
MA055826
PA
Other
Enumeration date
11/30/2012
Last updated
08/16/2019
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