Healthcare Provider Details

I. General information

NPI: 1003432576
Provider Name (Legal Business Name): JESSICA TOVE RICE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2020
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11190 HEALTH PARK BLVD STE 2102
NAPLES FL
34110-5729
US

IV. Provider business mailing address

11190 HEALTH PARK BLVD BLDG 2 SUITE 2102
NAPLES FL
34110-5729
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-1700
  • Fax:
Mailing address:
  • Phone: 239-624-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11007660
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number71015029A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: