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NPI Code Detail

MEDICARE: JESSICA RIFE

MEDICARE: JESSICA RIFE
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
1363LF0000XFamily Nurse PractitionerAPRN11010487FL

Other Identifiers

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

General Provider Information

NPI Number : 1538734181
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA RIFE
Provider Business Mailing Address
First Line : 4221 FRASIER LN
Second Line :
City : PACE
State : FL
Zip : 32571-6249
Country : US
Telephone Number : 850-304-4482
Fax Number :
Provider Business Practice Location Address
First Line : 7000 COBBLE CRK
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-8638
Country : US
Telephone Number : 850-473-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2021
Last Update Date : 05/26/2021

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