Individual
MRS. JESSICA BRAUNDMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3149 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL 34288-8974
(941) 266-5629
(888) 498-4926
Mailing address
3149 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL 34288-8974
(618) 825-1456
(888) 498-4926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.451726
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11029460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11029460
STATE LICENSE
FL
Enumeration date
03/27/2018
Last updated
10/30/2023
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