Individual
MS. JESSICA LYNN TANCOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5005 W LAUREL ST STE 205, TAMPA, FL 33607-3836
(813) 922-1532
(833) 371-1901
Mailing address
5005 W LAUREL ST STE 205, TAMPA, FL 33607-3836
(813) 922-1532
(833) 371-1901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9457938
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11025705
FL
Other
Enumeration date
03/09/2023
Last updated
08/21/2025
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