Individual
JESSICA LEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6641 MADISON ST STE 3, NEW PORT RICHEY, FL 34652-1966
(727) 203-4417
Mailing address
23049 PRESERVE CT, LUTZ, FL 33549-8758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9326450
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9326450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801270129
NPI
—
Enumeration date
07/16/2015
Last updated
07/01/2025
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