Jessie Dupins, LPN
Individual provider Active NPI Licensed Practical Nurse · Monticello, FL
NPI 1154719441 · NPPES record last updated Jan 8, 2015
Key facts
- NPI
- 1154719441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN798931 (FL)
- Practice address
- 960 Rocky Branch Rd
Monticello, FL 32344-2706 - Phone
- (850) 342-0115
- Fax
- (850) 342-0123
- NPI assigned
- Jan 8, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN798931 | FL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN798931 | FL | Yes |
Addresses
Primary practice location
960 Rocky Branch Rd
Monticello, FL 32344-2706
Mailing address
1255 W Washington St
Monticello, FL 32344-1128
Phone (850) 342-0170
Other providers in Monticello, FL
- Doh
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- Joseph C Dorn
- Robert S Dotson Jr.
- E1T1
- Jennifer Ellis
- Exiom, LLC
- Expanded Opportunities Outpatient Drug Treatment
- Melody Carol Fancher
All providers in Monticello, FL · Licensed Practical Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.