Provider Demographics
NPI:1811393440
Name:TRUE, JESSYCA (NP-C)
Entity Type:Individual
Prefix:
First Name:JESSYCA
Middle Name:
Last Name:TRUE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:JESSYCA
Other - Middle Name:
Other - Last Name:TASLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:6128 FISHHAWK CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:LITHIA
Mailing Address - State:FL
Mailing Address - Zip Code:33547-4880
Mailing Address - Country:US
Mailing Address - Phone:813-758-1618
Mailing Address - Fax:
Practice Address - Street 1:119 OAKFIELD DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5779
Practice Address - Country:US
Practice Address - Phone:813-681-5551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2023-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH078599-23363L00000X
FLARNP9352307363LF0000X
FL11025059363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily