Healthcare Provider Details

I. General information

NPI: 1013871631
Provider Name (Legal Business Name): JESSICA NICOLE REAMY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PINELLAS ST STE 325
CLEARWATER FL
33756-3320
US

IV. Provider business mailing address

2550 LANDER RD
PEPPER PIKE OH
44124-4318
US

V. Phone/Fax

Practice location:
  • Phone: 727-298-6121
  • Fax: 727-533-5903
Mailing address:
  • Phone: 440-684-6109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: