Jessica Acevedo
Individual provider Active NPI Other Technician · Stuart, FL
NPI 1922468271 · NPPES record last updated Feb 29, 2016
Key facts
- NPI
- 1922468271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 4575 SE Dixie Hwy
Stuart, FL 34997-6826 - Phone
- (561) 704-9950
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | |||
| Other Technician | 247200000X | Yes | ||
| General Acute Care Hospital | 282N00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4575 SE Dixie Hwy
Stuart, FL 34997-6826
Mailing address
6650 Tiburon Cir
Boca Raton, FL 33433-5048
Phone (561) 704-9950
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2016. 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.