Individual
JESICA CLEVELAND ARCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
4317
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9497670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105761900
—
FL
01
—
4317
APRN LICENSE NUMBER
SC
Enumeration date
10/20/2010
Last updated
04/30/2020
Update your record
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