Healthcare Provider Details

I. General information

NPI: 1750161816
Provider Name (Legal Business Name): JESSICA SILVER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2023
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 S TAMIAMI TRL FL 2
SARASOTA FL
34239-2930
US

IV. Provider business mailing address

PO BOX 947407
ATLANTA GA
30394-7407
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-8889
  • Fax: 941-917-7094
Mailing address:
  • Phone: 941-917-2600
  • Fax: 941-917-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11029011
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: