Individual
JESSICA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4105 49TH ST N, ST PETERSBURG, FL 33709-5711
(727) 528-6900
(727) 526-0753
Mailing address
2115 CENTRAL AVE, ST PETERSBURG, FL 33713-8815
(727) 525-9135
(727) 526-4346
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11020670
FL
Other
Enumeration date
10/04/2022
Last updated
05/08/2026
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