MEDICARE: JESSICA LYNN LOSADA ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	ARNP9266376	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700026184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN LOSADA ARNP

Provider Business Mailing Address
First Line	:	602 VONDERBURG DR STE 103
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-5900
Country	:	US
Telephone Number	:	813-720-8001
Fax Number	:	813-445-8168

Provider Business Practice Location Address
First Line	:	602 VONDERBURG DR STE 103
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511
Country	:	US
Telephone Number	:	727-456-3288
Fax Number	:	727-456-3289

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2009
Last Update Date	:	06/01/2026

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