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Individual
JESSICA HERRAIZ
Active
Individual
JESSICA HERRAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11006608
FL
363LA2100X
Acute Care Nurse Practitioner
RN301203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108097000
—
FL
Enumeration date
06/12/2013
Last updated
03/09/2021
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