# JESICA CLEVELAND ARCHIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588974869
- **Gender:** F
- **Credential:** MSN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 4317 | SC | — |
| 363LP0200X | Pediatric Nurse Practitioner | APRN9497670 | FL | Yes |

## Other

- **Enumeration date:** 10/20/2010
- **Last updated:** 04/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 105761900 | — | FL |
| 01 | — | 4317 | APRN LICENSE NUMBER | SC |