MRS. JESSICA LAND (NPI# 1528566353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528566353 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LAND |
| Practice Address |
653 Sw Choctaw Ave Fort White FL 32038 |
| Practice Telephone | 3866233000 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 175F00000X | Naturopath | Other Service Providers | ||
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022880200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 232 Sw Beauregard Gln, Lake City, FL 32024 | 3866233000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174973234 | Jessica Saunders Land | Counselor | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2016-06-20 |
| 1023356334 | Jessica Land | Pharmacist | 6480 Technology Ave, Kalamazoo, MI 49009-8119 | 2013-01-21 |
| Street Address |
653 SW CHOCTAW AVE |
| City | FORT WHITE |
| State | FL |
| Zip Code | 32038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487015467 | Dianne Marroletti | Registered Nurse | 342 Sw Logston Court, Fort White, FL 32038 | 2016-03-17 |
| 1407220338 | Sorensen & Smith LLC | Assisted Living Facility | 6873 Sw Us Hwy 27, Fort White, FL 32038 | 2015-11-16 |
| 1306253372 | Caitlyn Richter | Specialist/Technologist | 17828 Sw State Rd, Fort White, FL 32038 | 2014-07-22 |
| 1306139761 | Amanda Kay Brooks | Counselor | 520 Sw Atlas Dr, Fort White, FL 32038 | 2011-05-18 |
| 1497941165 | Kathleen Marshall | Pharmacist | 7729 Sw Us Hwy 27, Fort White, FL 32038 | 2007-09-17 |
| 1972873537 | Andrea H. Alfonzo | Occupational Therapist | 422 Sw Magnolia Ln, Fort White, FL 32038-2124 | 2012-01-12 |
| 1548298706 | Maryann Smith | Advanced Practice Midwife | 1117 Sw Rum Island Ter, Fort White, FL 32038-2332 | 2006-06-28 |
| 1780608778 | Lee L Gibson | Emergency Medicine | 190 Sw Natures Ct, Fort White, FL 32038-2357 | 2006-07-26 |
| 1912548991 | Brooks Behavioral LLC | Counselor | 520 Sw Atlas Dr, Fort White, FL 32038-2430 | 2019-10-01 |
| 1366648420 | Marion M Landua-figueroa | Technician | 374 Sw Princeton Ct, Fort White, FL 32038-2628 | 2007-06-25 |
| Find all providers in zip 32038 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306139761 | Amanda Kay Brooks | Counselor | 520 Sw Atlas Dr, Fort White, FL 32038 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1538760392 | Darcy Lynn Coleman | Counselor | 325 Se 28th Ter, Cape Coral, FL 33904-3416 | 2020-11-06 |
| 1407457203 | Marylon Larkins | Counselor | 1525 W Broadway St, Oviedo, FL 32765-6576 | 2020-11-06 |
| 1639770423 | Nickole Marguerite Wyse | Counselor | 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 | 2020-11-06 |
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1326649435 | Taylor Shannon Wolfe | Counselor | 8312 Catria Ln, Lake Worth, FL 33467-6706 | 2020-11-04 |
| 1427659630 | Sherrie Wade | Counselor | 260 Ne Wavecrest Way, Boca Raton, FL 33432-4220 | 2020-11-04 |
| 1396346656 | Ariel K Heyliger St. Fleur | Counselor | 9104 Nw 39th St, Coral Springs, FL 33065-2421 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | FORT WHITE |
| Zip Code | 32038 |
Please comment or provide details below to improve the information on MRS. JESSICA LAND.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.