Boudreaux-Milligan, Jessica L

Boudreaux-Milligan, Jessica L is an individual health care provider with primary practice located at 2290 W Eau Gallie Blvd Ste 210B , Melbourne FL 32935. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boudreaux-Milligan, Jessica L can be contacted via phone (321) 435-1505.

Contact Information

Primary practice address
2290 W Eau Gallie Blvd Ste 210B Melbourne FL 32935
Phone: (321) 435-1505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9109966 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2008006639 Missouri

Profile Details

NPI number 1386815835
LBN Legal business name Boudreaux-Milligan, Jessica L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2008
Last updated Apr 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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