Dykes, Jared
Dykes, Jared is an individual health care provider with primary practice located at 5270 Babcock St Ne Ste 1 , Palm Bay FL 32905-4616. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Dykes, Jared can be contacted via phone (321) 722-5959.Contact Information
Primary practice address
5270 Babcock St Ne Ste 1
Palm Bay FL 32905-4616
Phone: (321) 722-5959
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN9304261 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11015629 | Florida |
Profile Details
| NPI number | 1346911500 |
|---|---|
| LBN Legal business name | Dykes, Jared |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2021 |
| Last updated | Sep 28th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346911500 | NPPES |
| Florida | Other | APRN11015629 | MEDICAL LICENSE |
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