Individual
DR. JESSICA LAUREN CAICEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8576
Mailing address
474 PASADENA DR, LEXINGTON, KY 40503-2215
(859) 536-6545
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
202114370NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
3016556
KY
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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