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Individual

MS. JESSICA S BAHORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, MSN

Contact information

Practice address
1463 NECTARINE ST, FERNANDINA BEACH, FL 32034-3027
(904) 491-0177
(904) 491-3173
Mailing address
11448 SUGAR MAPLE PL S, JACKSONVILLE, FL 32225-4018
(904) 307-1702

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9178581
FL

Other

Enumeration date
09/13/2006
Last updated
07/09/2007
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