Jessica Grace Oglesby

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-221053 Issued in FL

Practice address

12421 San Jose Blvd Ste 300
Jacksonville, FL 32223-8659

Phone

(904) 619-8430

Fax

(904) 619-6342

NPI assigned

Jun 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1942931217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10827",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323022827",
            "telephone_number": "850-521-0242",
            "fax_number": "850-521-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12421 SAN JOSE BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238659",
            "telephone_number": "904-619-8430",
            "fax_number": "904-619-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "JESSICA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-221053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Ogheneochuko Oginni, MD
• Avery Ogle
• Hannah Ogle, MS, LAT, ATC
• Katherine Grace Ogle
• Jessica Oglesby, PHARMD
• Lashonda Oglesby, C.N.A.
• Melena Ogletree
• Victor Ochieng Ogondi, RN
• Kehinde Adetoro Ogundele, DMD
• Olushola Ogunlari, MD

• Behavior Technician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.