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1104391465
JESSICA K WHITE
LAKE MARY, FL
NPI
1104391465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN9354800)
Enumeration Date
2018-10-12
Last Update Date
2022-03-31
Business Address
JESSICA K WHITE APRN-BC
1035 PRIMERA BLVD
LAKE MARY, FL 32746-2193
Phone number: 407-333-3040
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Mailing Address
JESSICA K WHITE APRN-BC
5331 CORDGRASS BEND LN
PORT ORANGE, FL 32128-3000
Phone number: 386-506-2992
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