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NPI Code Detail

MEDICARE: JESSICA A DINGLE

MEDICARE: JESSICA A DINGLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1477416337
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA A DINGLE
Provider Business Mailing Address
First Line : 1567 KINGSLEY AVE
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-4510
Country : US
Telephone Number : 904-602-9740
Fax Number :
Provider Business Practice Location Address
First Line : 1567 KINGSLEY AVE
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-4510
Country : US
Telephone Number : 904-602-9740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 02/18/2026

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Directions to “ JESSICA A DINGLE ” Practice Location

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