Provider Demographics
NPI:1871990531
Name:MAJOR, JESSICA JOYCE (LPN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:JOYCE
Last Name:MAJOR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:JOYCE
Other - Last Name:JENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6465 142ND AVE N APT B201
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-2762
Mailing Address - Country:US
Mailing Address - Phone:520-508-5453
Mailing Address - Fax:
Practice Address - Street 1:6465 142ND AVE N APT B201
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-2762
Practice Address - Country:US
Practice Address - Phone:520-508-5453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5214967164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse