Individual
MS. JERRICA FARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-9273
Mailing address
7544 TRANSOM CT, TAMPA, FL 33607-5863
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9351801
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015089000
—
FL
01
—
Y0S4Z
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/19/2015
Last updated
05/13/2025
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