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Individual

JESSICA JO DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM

Contact information

Practice address
301 HEALTH PARK BLVD STE 219, ST AUGUSTINE, FL 32086-5795
(904) 819-9898
(904) 819-9594
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
ARNP9349120
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP9349120
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015029600
FL
01
LF617
MEDICARE
FL
Enumeration date
05/28/2015
Last updated
01/26/2024
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