Ray, Jessica Louise

Ray, Jessica Louise is an individual health care provider with primary practice located at 8787 Bryan Dairy Rd Ste 250 , Largo FL 33777-1259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ray, Jessica Louise can be contacted via phone (727) 391-6296.

Contact Information

Primary practice address
8787 Bryan Dairy Rd Ste 250 Largo FL 33777-1259
Fax: (813) 635-7940
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9107161 Florida

Profile Details

NPI number 1871835652
LBN Legal business name Ray, Jessica Louise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2013
Last updated Apr 20th, 2023 - about 3 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 1871835652 NPPES
Florida MEDICAID 105085900

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