Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSICA LEIGH STALLER, DO
Active Sole ProprietorDR. JESSICA LEIGH STALLER, DO is a Preventive Medicine healthcare provider located in FT LAUDERDALE, Florida. NPI 1831586544 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · FT LAUDERDALE, FL
Registration Details
- NPI Number
- 1831586544
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2015 (11.338579926863 yrs)
- Last Updated
- May 28, 2020
- Licenses
-
25MB10183900 (NJ)OS16365 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1007 W COMMERCIAL BLVDFT LAUDERDALE, FL, 333093107Browse FL providers · Browse ZIP 33309
- Phone
- 9545642592
- Fax
- 9545642705
- Primary Specialty
-
Preventive Medicine
2083P0500X
- Additional Specialty
- Preventive Medicine
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.