Provider Demographics
NPI:1346961695
Name:APPELT, JESSICA DANIELLE (NP)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:DANIELLE
Last Name:APPELT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:APPELT
Other - Last Name:SZABO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12434 HONEY POT TRL
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34614-3442
Mailing Address - Country:US
Mailing Address - Phone:727-515-9868
Mailing Address - Fax:
Practice Address - Street 1:818 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-5642
Practice Address - Country:US
Practice Address - Phone:727-263-2425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014494363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner