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NPI Code Detail

MEDICARE: JESSICA LILAH OPRISIU ARNP

MEDICARE: JESSICA LILAH OPRISIU ARNP
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
1363LP2300XPrimary Care Nurse PractitionerARNP 9406107FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
108DSUOTHERFLFLORIDA BLUE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609249168
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LILAH OPRISIU ARNP
Provider Business Mailing Address
First Line : PO BOX 10549
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33733-0549
Country : US
Telephone Number : 727-824-8181
Fax Number :
Provider Business Practice Location Address
First Line : 247 S HUEY AVE
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-4205
Country : US
Telephone Number : 727-824-8181
Fax Number : 727-939-4679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2015
Last Update Date : 04/24/2019

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