MEDICARE: JESSICA BESSETTE-CASTRO

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
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.0035801	OH
2	363LF0000X	Family Nurse Practitioner	95011301	CA

General Provider Information

NPI Number	:	1083177372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA BESSETTE-CASTRO

Provider Business Mailing Address
First Line	:	3316 NAVARRE AVE STE F
Second Line	:
City	:	OREGON
State	:	OH
Zip	:	43616-3301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3316 NAVARRE AVE STE F
Second Line	:
City	:	OREGON
State	:	OH
Zip	:	43616-3301
Country	:	US
Telephone Number	:	419-291-1420
Fax Number	:	419-214-3841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2019
Last Update Date	:	06/09/2026

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Directions to “ JESSICA BESSETTE-CASTRO ” Practice Location

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