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Jessica Michelle Gregory

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

This provider is enrolled in PECOS as JESSICA GREGORY.

Based on the most recent information from CMS, provider Jessica Michelle Gregory is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1306401922
Provider Type
Individual
Full Name
Gregory, Jessica Michelle
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
5/8/2019
Last Updated
11/15/2023

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11003605 Florida
Code 163WP0808X	Description Registered Nurse Nursing Service Providers	License RN9394928 Florida

Jessica Michelle Gregory

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Perrin, Angela Hartman

King, Courtney Renee

Segars, Kelly White

Waugh, Kristen

Cuthbert, Kristin

Weinert, Danielle Suzanne

Keever, Jessica Lynne

Frauenheim, Kristina Lea

Gaouette, Sally Anne

Romecki, Bree Z Brasch