Healthcare Provider Details

I. General information

NPI: 1306752977
Provider Name (Legal Business Name): JESSA ARIEL GANT MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4631 NW 53RD AVE STE 102
GAINESVILLE FL
32653-3402
US

IV. Provider business mailing address

1121 SW 98TH ST
GAINESVILLE FL
32607-3225
US

V. Phone/Fax

Practice location:
  • Phone: 352-440-8147
  • Fax:
Mailing address:
  • Phone: 352-278-5883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: