Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA MARIE BASTIAN
Active Sole ProprietorJESSICA MARIE BASTIAN is a Developmental Disabilities Clinic healthcare provider located in LEESBURG, Florida. NPI 1518596030 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · LEESBURG, FL
Registration Details
- NPI Number
- 1518596030
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2020 (6.3659658925018 yrs)
- Last Updated
- Apr 6, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1704 W MAIN STLEESBURG, FL, 347484861Browse FL providers · Browse ZIP 34748
- Phone
- 3527021478
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Providers in LEESBURG, FL
| Name | Credential | NPI |
|---|---|---|
| ADRIENNE MARTIN | — | 1821627282 |
| CHARMAINE NATALIE MONTEITH | — | 1609470251 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.