Provider Demographics
NPI:1679979926
Name:BARBEE, JESSICA SELWYN (RN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:SELWYN
Last Name:BARBEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:CHRISTMAS
Mailing Address - State:FL
Mailing Address - Zip Code:32709-9318
Mailing Address - Country:US
Mailing Address - Phone:407-568-5616
Mailing Address - Fax:
Practice Address - Street 1:2913 PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:CHRISTMAS
Practice Address - State:FL
Practice Address - Zip Code:32709-9318
Practice Address - Country:US
Practice Address - Phone:407-568-5616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9389766163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse