MEDICARE: JESSICA ERIN THORPE DC

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	111N00000X	Chiropractor	15816	FL

General Provider Information

NPI Number	:	1083560684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA ERIN THORPE DC

Provider Business Mailing Address
First Line	:	1007 EGRET CT
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32141-4149
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2430 S ATLANTIC AVE STE C
Second Line	:
City	:	DAYTONA BEACH SHORES
State	:	FL
Zip	:	32118-5419
Country	:	US
Telephone Number	:	386-268-1917
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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