Individual
JESSICA LYNN PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 344-7413
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP 9348776
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9348776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101751700
—
FL
01
—
R52G5
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/18/2016
Last updated
10/25/2024
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