Provider Demographics
NPI:1568721744
Name:SESSA, JENNA (MS,ED)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:SESSA
Suffix:
Gender:F
Credentials:MS,ED
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:ORTEGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11388 CANOPY LOOP
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-9676
Mailing Address - Country:US
Mailing Address - Phone:347-739-1818
Mailing Address - Fax:
Practice Address - Street 1:11388 CANOPY LOOP
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-9676
Practice Address - Country:US
Practice Address - Phone:347-739-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist