Individual
JESSICA ULYSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 627-9350
(352) 273-9054
Mailing address
12208 N ARMENIA AVE, TAMPA, FL 33612-5040
(786) 309-8968
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
11015415
FL
363LP0200X
Pediatric Nurse Practitioner
202018110
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11015415
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127828600
—
FL
Enumeration date
09/14/2021
Last updated
09/19/2025
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