Individual
DR. JESSICA BASS
Active
Individual
DR. JESSICA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO210001341
DC
208M00000X
Hospitalist Physician
OS17832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110877300
—
FL
01
—
XIWD6
BCBS
FL
Enumeration date
05/15/2018
Last updated
02/13/2025
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