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NPI Code Detail

MEDICARE: MRS. JESIKA L DA SILVA C.N.P.

MEDICARE:  MRS. JESIKA L DA SILVA  C.N.P.
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
1363LF0000XFamily Nurse Practitioner9405066FL
2363LF0000XFamily Nurse Practitioner209008258IL

General Provider Information

NPI Number : 1801129895
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESIKA L DA SILVA C.N.P.
Provider Business Mailing Address
First Line : 4200 W CYPRESS ST STE 690
Second Line :
City : TAMPA
State : FL
Zip : 33607-4112
Country : US
Telephone Number : 312-221-6446
Fax Number :
Provider Business Practice Location Address
First Line : 4200 W CYPRESS ST STE 690
Second Line :
City : TAMPA
State : FL
Zip : 33607-4112
Country : US
Telephone Number : 312-221-6446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2009
Last Update Date : 01/09/2020

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Directions to “ MRS. JESIKA L DA SILVA C.N.P.” Practice Location

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