Fazzingo, Jesse

Fazzingo, Jesse is an individual health care provider with primary practice located at 1301 Plantation Island Dr S Suite 302A, St Augustine FL 32080-3108. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fazzingo, Jesse can be contacted via phone (904) 461-9330.

Contact Information

Primary practice address
1301 Plantation Island Dr S Suite 302A St Augustine FL 32080-3108
Phone: (904) 461-9330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9241959 Florida

Profile Details

NPI number 1316487218
LBN Legal business name Fazzingo, Jesse
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2017
Last updated Apr 20th, 2017 - about 9 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.

Request for update

Popular Providers