Individual
MRS. JESSICA MARIE HAMILTON TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Contact information
Practice address
2100 NEBRASKA AVE, SUITE 113, FORT PIERCE, FL 34950-4704
(772) 460-0321
(772) 460-0332
Mailing address
2100 NEBRASKA AVE, FORT PIERCE, FL 34950-4704
(772) 460-0321
(772) 460-0332
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9266036
FL
Other
Enumeration date
07/21/2011
Last updated
09/25/2012
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