Provider Demographics
NPI:1891456109
Name:SAXTON, JESSICA DIANE
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:DIANE
Last Name:SAXTON
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 1:791 LA MARCHE DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-4531
Mailing Address - Country:US
Mailing Address - Phone:904-314-5081
Mailing Address - Fax:
Practice Address - Street 1:791 LA MARCHE DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-4531
Practice Address - Country:US
Practice Address - Phone:904-314-5081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide