MR. Jesse Fazzingo, ARNP
NPI #1316487218 in St Augustine, Florida
Provider Information
- NPI Number
- 1316487218
- Entity Type
- Individual
- Name
- MR. Jesse Fazzingo, ARNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- ARNP
- Enumeration Date
- Feb 27, 2017
- Last Updated
- Apr 20, 2017
Practice Location
- Address
- 1301 PLANTATION ISLAND DR S
- Address 2
- SUITE 302A
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32080-3108
- Phone
- (904) 461-9330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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