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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1346911500 NPPES
Florida Other APRN11015629 MEDICAL LICENSE

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