Provider Demographics
NPI:1225909948
Name:STAFF, JESSICA P
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:P
Last Name:STAFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 SW 20TH PL STE 201
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6351
Mailing Address - Country:US
Mailing Address - Phone:352-831-8090
Mailing Address - Fax:
Practice Address - Street 1:2118 SW 20TH PL STE 201
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6351
Practice Address - Country:US
Practice Address - Phone:352-831-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty