Provider Demographics
NPI:1043454200
Name:HIGHFILL, JESSICA BROOKE (MD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:BROOKE
Last Name:HIGHFILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 JUPITER LAKES BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7100
Mailing Address - Country:US
Mailing Address - Phone:561-741-1957
Mailing Address - Fax:561-741-1893
Practice Address - Street 1:345 JUPITER LAKES BLVD STE 200
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7100
Practice Address - Country:US
Practice Address - Phone:561-741-1957
Practice Address - Fax:561-741-1893
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME154653207V00000X
AK7675207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1583742Medicaid
AKK165154Medicare PIN
AK0361450001Medicare NSC