Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN11004704 | FL |
NPI | 1033720339 |
---|---|
Provider Name | Jessica Angela Pappanikou |
First Address | Sunrise, FL 33323-1103 |
Second Address | Miami, FL 33176-2118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2020 |
Last Update Date | 07/02/2022 |