Provider Demographics
NPI:1245801042
Name:GUZMAN PEREZ, JESSICA MARIA (FNP BC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA MARIA
Middle Name:
Last Name:GUZMAN PEREZ
Suffix:
Gender:F
Credentials:FNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4011 NW 43RD ST STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-4609
Mailing Address - Country:US
Mailing Address - Phone:802-881-7328
Mailing Address - Fax:
Practice Address - Street 1:4011 NW 43RD ST STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-4609
Practice Address - Country:US
Practice Address - Phone:352-283-0605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-02
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11013585363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily