Individual provider · Type 1 NPI

Jessica Anne Dale, AGPCNP-BC

Nurse Practitioner · The Villages, FL

NPI number 1346818937 Active

Practice location

340 Heald Way Ste 238
The Villages, FL 32163-6088

Fax (863) 709-0273

Mailing address

151 Southhall Ln Ste 300
Maitland, FL 32751-7172

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11011211 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1346818937

Jessica Anne Dale, AGPCNP-BC's National Provider Identifier is 1346818937, issued on Jun 11, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in The Villages, FL. The record was last updated on Dec 17, 2024.