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Individual

MRS. JESSICA ANAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
(813) 745-3995
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11005136
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
11005136
FL
363LP2300X
Primary Care Nurse Practitioner
APRN11005136
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861460610
FL
Enumeration date
12/06/2019
Last updated
05/06/2026
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