Jessica L Fong
NPI #1629859335 in Crystal River, Florida
Provider Information
- NPI Number
- 1629859335
- Entity Type
- Individual
- Name
- Jessica L Fong
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 9, 2023
- Last Updated
- Oct 9, 2023
Practice Location
- Address
- 1250 N VANTAGE POINT DR
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-5736
- Phone
- (352) 795-0644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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