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Jessica Land

NPI 1528566353 · on the registry since 2018 · sole proprietor

Practice

Address
653 Sw Choctaw Ave
Fort White, FL 32038
Phone
(386) 623-3000

Additional practice sites

  • 232 Sw Beauregard Gln, Lake City, FL

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
175F00000X
225C00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida