Provider Demographics
NPI:1497450977
Name:MAJOR, JESSICA HANNAH (PA)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:HANNAH
Last Name:MAJOR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 TAVISTOCK LAKES BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7592
Mailing Address - Country:US
Mailing Address - Phone:321-380-1411
Mailing Address - Fax:407-313-3083
Practice Address - Street 1:8408 N GRADY AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1907
Practice Address - Country:US
Practice Address - Phone:813-885-9091
Practice Address - Fax:813-324-1133
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant