Wyckoff, Jessica

Wyckoff, Jessica is an individual health care provider with primary practice located at 12497 Tamiami Trl S Ste 1 , North Port FL 34287-1415. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wyckoff, Jessica can be contacted via phone (941) 282-3376.

Contact Information

Primary practice address
12497 Tamiami Trl S Ste 1 North Port FL 34287-1415
Phone: (941) 282-3376
Fax: (941) 282-3378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11007428 Florida

Profile Details

NPI number 1205451366
LBN Legal business name Wyckoff, Jessica
Credentials DNP, APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2020
Last updated Jan 17th, 2024 - about 2 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 1205451366 NPPES
Florida Other 2NEDO BCBS

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