Individual
MS. JESSICA NICOLE COLLERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGPCNP
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11008595
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11008595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11008595
APRN
FL
Enumeration date
08/13/2020
Last updated
03/06/2026
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