Provider Demographics
NPI:1548549595
Name:STROWBRIDGE, JESSIE NAPOLEAN (RN)
Entity type:Individual
Prefix:
First Name:JESSIE
Middle Name:NAPOLEAN
Last Name:STROWBRIDGE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 MALLORY ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-8105
Mailing Address - Country:US
Mailing Address - Phone:904-683-5199
Mailing Address - Fax:
Practice Address - Street 1:1648 MALLORY ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-8105
Practice Address - Country:US
Practice Address - Phone:904-683-5199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9229761163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse