Jessica Mickelsen, BS, CNIM, LMT

NPI 1275157554 · on the registry since 2020 · sole proprietor

Practice

Address: 13440 Parker Commons Blvd Ste 103
Fort Myers, FL 33912
Phone: (239) 671-0695
Organisation at this address: Gulfcoast Md Pa
Debra Todd Black, D.O., P.A.
Ricardo E. Novoa, D.O., P.A.
Millennium Physician Group Llc
Wendy Batista-Rodriguez Dds Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-06-03
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida