Provider Demographics
NPI:1629107685
Name:GOZY, JESSICA LOVING (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LOVING
Last Name:GOZY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:USAMEDDAC WUERZBURG ATTN CREDENTIALS OFFICE
Mailing Address - Street 2:UNTI 26610
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09244
Mailing Address - Country:US
Mailing Address - Phone:01149931-804-3616
Mailing Address - Fax:01149931-804-3241
Practice Address - Street 1:USAMEDDAC WUERZBURG
Practice Address - Street 2:HOHENFELS HEALTH CLINIC HOHENFELS, GERMANY
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09173
Practice Address - Country:US
Practice Address - Phone:01149947-283-4432
Practice Address - Fax:01149947-283-2065
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC051380164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse