Provider Demographics
NPI:1154775153
Name:PIERRE-LOUIS, JESSY (DPM)
Entity type:Individual
Prefix:DR
First Name:JESSY
Middle Name:
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 3RD ST SW STE 105
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-3913
Mailing Address - Country:US
Mailing Address - Phone:863-546-1375
Mailing Address - Fax:
Practice Address - Street 1:1300 3RD ST SW STE 105
Practice Address - Street 2:APT 105
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880
Practice Address - Country:US
Practice Address - Phone:863-546-1375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-16
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO4099213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery