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NPI Code Detail

MEDICARE: MRS. JESSICA REYES APRN

MEDICARE:  MRS. JESSICA  REYES  APRN
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 PractitionerAPRN11001352FL

General Provider Information

NPI Number : 1861044893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA REYES APRN
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-0002
Fax Number :
Provider Business Practice Location Address
First Line : 1305 S FORT HARRISON AVE STE E
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3301
Country : US
Telephone Number : 727-631-0915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2019
Last Update Date : 03/11/2026

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Directions to “ MRS. JESSICA REYES APRN” Practice Location

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