Provider Demographics
NPI:1811348501
Name:LOWE, JESSICA ANTOINETTE (MD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANTOINETTE
Last Name:LOWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:640 S STATE ST
Mailing Address - Street 2:MAIL CODE 3055
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-744-6592
Mailing Address - Fax:302-735-3240
Practice Address - Street 1:11215 METRO PKWY STE 1
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-1206
Practice Address - Country:US
Practice Address - Phone:239-208-2212
Practice Address - Fax:239-208-3994
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2025-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-00244282084N0400X
FLME1760362084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology