Individual
JESSICA LYNN CAPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
10964 CHALLEUX DR S, JACKSONVILLE, FL 32225-2300
(386) 451-4853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11016749
FL
363L00000X
Nurse Practitioner
11016749
FL
363L00000X
Nurse Practitioner
Primary
APRN11016749
FL
Other
Enumeration date
12/01/2021
Last updated
01/12/2022
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