Individual provider · Type 1 NPI

Jessica Kay Bodager

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1194508648 Active

Practice location

13000 Bruce B Downs Blvd
Tampa, FL 33612-4745

Call (813) 972-2000 Map

Mailing address

9309 Persimmon Brook Trl Apt 6-215
Thonotosassa, FL 33592-3898

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPT40535 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194508648

Jessica Kay Bodager's National Provider Identifier is 1194508648, issued on Aug 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Aug 17, 2023.