MEDICARE: MS. JESSICA HYAMS KENNEDY AA-C

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	367H00000X	Anesthesiologist Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659705655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JESSICA HYAMS KENNEDY AA-C

Provider Business Mailing Address
First Line	:	33140 IRONGATE DR
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34788-3131
Country	:	US
Telephone Number	:	352-209-5263
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 PRUDENTIAL DR STE 606
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8208
Country	:	US
Telephone Number	:	904-398-3356
Fax Number	:

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

Provider Enumeration Date	:	08/26/2013
Last Update Date	:	08/26/2013

Similar Medicare Providers

1235532730 — ALEXANDER JAGERNAUTH A.A.
Practice Location Address:

820 PRUDENTIAL DR , STE 606
JACKSONVILLE, FL
32207-8208

Practice Phone: 904-398-3356
Practice Fax:

1063921955 — MR. KYLE MATTHEW HILLIS CAA
Practice Location Address:

820 PRUDENTIAL DR STE 606
JACKSONVILLE, FL
32207-8208

Practice Phone: 904-398-3356
Practice Fax:

1093664021 — MRS. WINIFRED NELSON FNP-C
Practice Location Address:

3840 BELFORT RD STE 102
JACKSONVILLE, FL
32216-8208

Practice Phone: 904-371-4051
Practice Fax: 904-619-4378

1417017872 — DANIEL R MCINTOSH & ASSOCIATES OD
Practice Location Address:

3840 BELFORT RD STE 105
JACKSONVILLE, FL
32216-8208

Practice Phone: 904-737-1975
Practice Fax:

1134760580 — BENJAMIN OLSON DICKEY CAA
Practice Location Address:

800 PRUDENTIAL DR
JACKSONVILLE, FL
32207-8202

Practice Phone: 904-202-2000
Practice Fax:

1730237595 — DR. JAY ALEXANDER HOMBURGER MD
Practice Location Address:

8700 BEVERLY BLVD STE SB290
W HOLLYWOOD, CA
90048-1804

Practice Phone: 310-423-5841
Practice Fax:

Directions to “ MS. JESSICA HYAMS KENNEDY AA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.