Individual provider · Type 1 NPI

Jessica Canosa

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

NPI number 1487396925 Active

Practice location

580 W 8th St
Jacksonville, FL 32209-6533

Call (904) 383-1022 Map

Fax (904) 244-9789

Other practice locations

  • Florida Atlantic University Neurology Residency Program, 800 Meadows Road, Boca Raton, FL 33486 · (561) 955-3945

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1487396925

Jessica Canosa's National Provider Identifier is 1487396925, issued on Apr 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 9, 2026.