Provider Demographics
NPI:1467227363
Name:PAUS, JESSICA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:PAUS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9974 SW 69TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-2598
Mailing Address - Country:US
Mailing Address - Phone:952-220-9963
Mailing Address - Fax:
Practice Address - Street 1:9974 SW 69TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-2598
Practice Address - Country:US
Practice Address - Phone:952-220-9963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9487533163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health