Healthcare Provider Details

I. General information

NPI: 1568955490
Provider Name (Legal Business Name): ALICIA MARIE HESS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2018
Last Update Date: 01/11/2024
Certification Date: 04/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 CORBETT ST STE 300
BELLEAIR FL
33756-7303
US

IV. Provider business mailing address

2773 ENTERPRISE RD E APT 55
CLEARWATER FL
33759-1110
US

V. Phone/Fax

Practice location:
  • Phone: 727-977-9717
  • Fax:
Mailing address:
  • Phone: 727-215-8098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9320458
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9320458
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: