Individual
JESULA JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6855 S RED RD STE 600, SOUTH MIAMI, FL 33143-3518
(786) 243-8132
(786) 243-8010
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 573-6894
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1920062
FL
Other
Enumeration date
03/01/2011
Last updated
05/01/2019
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