Individual
JESSICA YUAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-6484
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-6484
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2747122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3070816-00
—
FL
Enumeration date
04/22/2006
Last updated
05/15/2008
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