What is Tina Jessup's NPI number?

The NPI number assigned to this healthcare provider is 1831515725, enumerated as a individual on March 15, 2014.

Where is the provider located?

The provider is located at 15204 W COLONIAL DR WINTER GARDEN, FL 34787 and the phone number is (407) 877-2394.

What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

TINA MARIE JESSUP PTA - NPI 1831515725 - Specialist in Winter Garden, FL

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About Tina Marie Jessup Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA MARIE JESSUP PTA (NPI 1831515725) is an individual specialist in Winter Garden, Florida, licensed in Florida (PTA21658) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1831515725

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameTINA MARIE JESSUPCredential: PTA

Location Address15204 W COLONIAL DRWinter Garden, FL 34787-6042

Mailing Address16208 Saint Augustine StClermont, FL 34714-4993 · (352) 432-3309

Phone(407) 877-2394

Sole ProprietorNo

Enumeration DateMarch 15, 2014

✔ NPI 1831515725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · PTA21658

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

15204 W COLONIAL DR, Winter Garden, FL 34787

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