Provider Demographics
NPI:1497450977
Name:MAJOR, JESSICA HANNAH (PA)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:HANNAH
Last Name:MAJOR
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Gender:F
Credentials:PA
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Mailing Address - Street 1:425 W COLONIAL DR STE 303
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6863
Mailing Address - Country:US
Mailing Address - Phone:321-332-6947
Mailing Address - Fax:407-286-4515
Practice Address - Street 1:8408 N GRADY AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1907
Practice Address - Country:US
Practice Address - Phone:813-885-9091
Practice Address - Fax:813-324-1133
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2024-05-16
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Provider Licenses
StateLicense IDTaxonomies
FL363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant