Provider Demographics
NPI:1023258928
Name:JESUCA, FLORE MARIE (ARNP)
Entity type:Individual
Prefix:MS
First Name:FLORE
Middle Name:MARIE
Last Name:JESUCA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8736 ESCONDIDO WAY E
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-2511
Mailing Address - Country:US
Mailing Address - Phone:561-674-2881
Mailing Address - Fax:
Practice Address - Street 1:9108 PINE SPRINGS DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1457
Practice Address - Country:US
Practice Address - Phone:561-674-2881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9195039363LF0000X
FLARNP9195029363LP0808X
FL9195039363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health