Individual
JENNIFER RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Mailing address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9308857
FL
363L00000X
Nurse Practitioner
Primary
11015368
FL
Other
Enumeration date
11/21/2019
Last updated
03/23/2023
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