Healthcare Provider Details

I. General information

NPI: 1497598130
Provider Name (Legal Business Name): JAIMIE LESTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16124 SW 48TH CIR
OCALA FL
34473-3565
US

IV. Provider business mailing address

16124 SW 48TH CIR
OCALA FL
34473-3565
US

V. Phone/Fax

Practice location:
  • Phone: 703-653-4999
  • Fax:
Mailing address:
  • Phone: 703-653-4999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11033456
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11033456
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: