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NPI Code Detail

MEDICARE: JAIME LYNNE REYES APRN, FNP-C

MEDICARE:   JAIME LYNNE REYES  APRN, FNP-C
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 PractitionerAPRN11004563FL

General Provider Information

NPI Number : 1831860378
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME LYNNE REYES APRN, FNP-C
Provider Business Mailing Address
First Line : 7447 CLEVELAND ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-5325
Country : US
Telephone Number : 954-263-8692
Fax Number :
Provider Business Practice Location Address
First Line : 7447 CLEVELAND ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-5325
Country : US
Telephone Number : 954-263-8692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2021
Last Update Date : 09/24/2021

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Directions to “ JAIME LYNNE REYES APRN, FNP-C” Practice Location

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