Burgos, Jessica

Burgos, Jessica is an individual health care provider with primary practice located at 466 Sw Port St Lucie Blvd Ste 114 , Port St Lucie FL 34953-2091. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Nursing Service Providers / Infusion Therapy. Nursing Service Providers / Registered Nurse is her primary health care specialty. Burgos, Jessica can be contacted via phone (772) 837-0500.

Contact Information

Primary practice address
466 Sw Port St Lucie Blvd Ste 114 Port St Lucie FL 34953-2091
Phone: (772) 837-0500
Fax: (772) 264-7903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041403333 Illinois
Nursing Service Providers / Home Health 163WH0200X 736 Florida
Nursing Service Providers / Infusion Therapy 163WI0500X 777 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN9562775 Florida

Profile Details

NPI number 1093305062
LBN Legal business name Burgos, Jessica
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2021
Last updated Aug 3rd, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093305062 NPPES
Florida Other 6029027 HEALTH CARE CLINIC ESTABLISHMENT
Florida Other 10D2300231 HEALTH CARE CLINIC ESTABLISHMENT

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