Teplicek, Jessica Michelle
Teplicek, Jessica Michelle is an sole proprietor health care provider with primary practice located at 12216 Panama City Beach Pkwy Ste B , Panama City Beach FL 32407-2728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Teplicek, Jessica Michelle can be contacted via phone (850) 236-0488.Contact Information
Primary practice address
12216 Panama City Beach Pkwy Ste B
Panama City Beach FL 32407-2728
Phone: (850) 236-0488
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ARNP110010019 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN11001019 | Florida |
Profile Details
| NPI number | 1902368517 |
|---|---|
| LBN Legal business name | Teplicek, Jessica Michelle |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2019 |
| Last updated | Apr 6th, 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 | 1902368517 | NPPES |
| Florida | MEDICAID | 102493700 |
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