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General NPI Number Information
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NPI Number | 1982188421
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Entity Type | Individual
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Provider Name | SHERRY RIVERA FNP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 5011 GATE PKWY BLDG 100
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0830
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Country | US
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Telephone | 904-281-1915
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Fax | 904-281-1119
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Provider Business Mailing Address
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Address Line | PO BOX 40549
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City | BELFAST
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State | ME
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Zip | 04915-1256
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Country | US
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Telephone | 904-281-1915
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Fax | 904-281-1119
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 902807
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 902807
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License Number State | MS
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