Individual
JESSICA RENEE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2122 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8937
(904) 398-5614
(904) 398-5617
Mailing address
PO BOX 55009, JACKSONVILLE, FL 32216-0009
(904) 398-5614
(904) 398-5617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11008692
FL
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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