Fitzgerald, Jessica Rose

Fitzgerald, Jessica Rose is an sole proprietor health care provider with primary practice located at 12204 Bass Oak Ct , Riverview FL 33569-4738. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fitzgerald, Jessica Rose can be contacted via phone (541) 633-0369.

Contact Information

Primary practice address
12204 Bass Oak Ct Riverview FL 33569-4738
Phone: (541) 633-0369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X 10673 California

Profile Details

NPI number 1871112888
LBN Legal business name Fitzgerald, Jessica Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2020
Last updated Mar 26th, 2025 - about last year

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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