Individual
JESSICA ILEANA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
11760 SW 40TH ST STE 654, MIAMI, FL 33175-8103
(786) 615-6123
Mailing address
10466 SW 27TH ST, MIAMI, FL 33165-2765
(305) 979-1580
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN11019448
FL
Other
Enumeration date
05/04/2022
Last updated
06/04/2024
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