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NPI Code Detail

MEDICARE: MRS. JESSICA NICOLE MCGLONE ARNP

MEDICARE: MRS. JESSICA NICOLE MCGLONE 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
1363LF0000XFamily Nurse Practitioner4704409832MI
2363L00000XNurse Practitioner873025NV
3363LF0000XFamily Nurse Practitioner53-82123-082KS
4363LF0000XFamily Nurse Practitioner3010300KY
5363LF0000XFamily Nurse PractitionerA176865IA
6363LF0000XFamily Nurse Practitioner905650MS
7363LF0000XFamily Nurse Practitioner24188775VA
8363LF0000XFamily Nurse Practitioner5019254NC
9363LF0000XFamily Nurse PractitionerAPRN.CNP.0035173OH
10363LF0000XFamily Nurse Practitioner10019512OR
11363LF0000XFamily Nurse PractitionerAP61498536WA
12363LF0000XFamily Nurse Practitioner0004233-C-NPCO
13363LF0000XFamily Nurse Practitioner9389135FL
14363LF0000XFamily Nurse Practitioner3-001540AL
15363LF0000XFamily Nurse Practitioner301827AZ

Other Identifiers

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

General Provider Information

NPI Number : 1891161808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA NICOLE MCGLONE ARNP
Provider Business Mailing Address
First Line : 4948 REFLECTING POND CIR
Second Line :
City : WIMAUMA
State : FL
Zip : 33598-4064
Country : US
Telephone Number : 727-519-6431
Fax Number : 813-336-8804
Provider Business Practice Location Address
First Line : 520 N FALKENBURG RD
Second Line :
City : TAMPA
State : FL
Zip : 33619-7884
Country : US
Telephone Number : 727-519-6431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2015
Last Update Date : 07/31/2024

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