Individual
JESSICA DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
26236 US HIGHWAY 19 N, CLEARWATER, FL 33761-3580
(727) 953-3599
(727) 953-3608
Mailing address
26236 US HIGHWAY 19 N, CLEARWATER, FL 33761-3580
(727) 953-3599
(727) 953-3608
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11018121
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114379900
—
FL
01
—
8O6MI
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/21/2022
Last updated
09/02/2023
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