Individual
JESSICA HERRAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2222 S HARBOR CITY BLVD, STE 610, MELBOURNE, FL 32901-5591
(321) 723-7716
(321) 541-1581
Mailing address
2222 S HARBOR CITY BLVD, STE 610, MELBOURNE, FL 32901-5591
(321) 723-7716
(321) 541-1581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11006608
FL
363LA2100X
Acute Care Nurse Practitioner
RN301203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108097000
—
FL
Enumeration date
06/12/2013
Last updated
03/09/2021
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