NPI 1134067580

Jessica Pouranfar, PHDMTBC

Practitioner Contractor Tallahassee, FL

Practice location

Address: 1700 N Meridian Rd, Tallahassee, FL 32303-5646
Phone: (229) 400-0722

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1134067580
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2026
Record last updated: 24 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.