Provider Demographics
NPI:1750654182
Name:MESSENGER, JESSICA LYN
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYN
Last Name:MESSENGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1539 NE 22ND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-4761
Mailing Address - Country:US
Mailing Address - Phone:352-369-7872
Mailing Address - Fax:
Practice Address - Street 1:1539 NE 22ND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-4761
Practice Address - Country:US
Practice Address - Phone:352-369-7872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator