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Individual

JESSICA JANUSZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1601 S APOLLO BLVD STE C, MELBOURNE, FL 32901-4484
(516) 592-0902
Mailing address
1601 S APOLLO BLVD, MELBOURNE, FL 32901-4484
(321) 327-7797
(321) 327-7789

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9407222
FL
363L00000X
Nurse Practitioner
Primary
11011617
FL

Other

Enumeration date
08/23/2020
Last updated
03/03/2021
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