MEDICARE: JESSICA SADLEY AGACNP-BC

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	363LA2100X	Acute Care Nurse Practitioner	11045326	FL

General Provider Information

NPI Number	:	1386595379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA SADLEY AGACNP-BC

Provider Business Mailing Address
First Line	:	675 23RD PL SW
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32962-8124
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 NEBRASKA AVE STE 4
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4837
Country	:	US
Telephone Number	:	772-466-7200
Fax Number	:	772-466-9513

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

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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