| Doctor Name: | MRS. JESSICA REGISTER LUDWIG |
| NPI Number: | 1346589629 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9248471 |
| Business Practice Address: | 21 W Main Ave Defuniak Springs, FL - 324352529 |
| Business Phone Number: | 8508922888 |
| Business Fax Number: | |
| Mailing Address: | 250 Judah St, BONIFAY |
| State: | FL |
| Postal Code: | 324254202 |
| Phone Number: | 8505473931 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2013 |
| NPI Last Update Date: | 02/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9248471 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |