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Contact Information

JESSICA AMICO
1061 HARMON AVE
FORT STEWART, GA31314-5641
 Phone: 808-388-0141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JESSICA AMICO · (Female)

NPI Number 1164820882
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2014
Last updated 04/25/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 0003064
  • OK License # 0097956
  • Other 1288023197 DOD ID NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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