Individual
MRS. JESSICA RAE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
5575 E SR 44, WILDWOOD, FL 34785-8282
(352) 571-4418
Mailing address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11003070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104084900
—
FL
Enumeration date
09/24/2018
Last updated
10/11/2023
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