Individual
JESSICA ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1103 MAZA PL, TRINITY, FL 34655-7244
(813) 451-1080
Mailing address
1103 MAZA PL, TRINITY, FL 34655-7244
(813) 451-1080
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95003563
CA
Other
Enumeration date
09/27/2016
Last updated
07/12/2022
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