Healthcare Provider Details

I. General information

NPI: 1760263974
Provider Name (Legal Business Name): JESSICA HUTCHINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2778 US HIGHWAY 27 S
AVON PARK FL
33825-9755
US

IV. Provider business mailing address

PO BOX 120562
CLERMONT FL
34712-0562
US

V. Phone/Fax

Practice location:
  • Phone: 863-358-0500
  • Fax:
Mailing address:
  • Phone:
  • Fax: 813-355-0910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11029117
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11029117
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: