Individual
JESICA CLEVELAND ARCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
1720 S ORANGE AVE, ORLANDO, FL 32806-2945
(407) 540-1000
(407) 540-1011
Mailing address
1720 S ORANGE AVE, ORLANDO, FL 32806-2945
(407) 540-1000
(407) 540-1011
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
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