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Individual

JESSICA L CO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, RN

Contact information

Practice address
300 S PARK RD STE 400, HOLLYWOOD, FL 33021-8353
(954) 265-7450
Mailing address
2900 CORPORATE WAY # WAYD, MIRAMAR, FL 33025-3925
(954) 276-5603

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
11009975
FL
363LF0000X
Family Nurse Practitioner
11738
OH
363LF0000X
Family Nurse Practitioner
3009141
KY
363LP0200X
Pediatric Nurse Practitioner
COA.11738-NP
OH

Other

Enumeration date
08/13/2010
Last updated
12/19/2025
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