Dean, Jessica Jo

Dean, Jessica Jo is an individual health care provider with primary practice located at 301 Health Park Blvd Ste 219 , St Augustine FL 32086-5795. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Dean, Jessica Jo can be contacted via phone (904) 819-9898.

Contact Information

Primary practice address
301 Health Park Blvd Ste 219 St Augustine FL 32086-5795
Phone: (904) 819-9898
Fax: (904) 819-9594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X ARNP9349120 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP9349120 Florida

Profile Details

NPI number 1720467350
LBN Legal business name Dean, Jessica Jo
Credentials APRN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2015
Last updated Jan 26th, 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 1720467350 NPPES
Florida Other LF617 MEDICARE
Florida MEDICAID 015029600 MEDICARE

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