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NPI Code Detail

MEDICARE: MRS. DEBRA WARREN REILEY RN

MEDICARE:  MRS. DEBRA WARREN REILEY  RN
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
1163WC0400XCase Management Registered NurseRN1706082FL

General Provider Information

NPI Number : 1144383019
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBRA WARREN REILEY RN
Provider Business Mailing Address
First Line : 910 NORTH JEFFERSON STREET
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-6810
Country : US
Telephone Number : 904-360-7070
Fax Number : 904-798-4559
Provider Business Practice Location Address
First Line : 910 N JEFFERSON ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-6810
Country : US
Telephone Number : 904-360-7070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. DEBRA WARREN REILEY RN” Practice Location

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