Individual
JEANNETTE FLEISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
17 DAVIS BLVD, #301, TAMPA, FL 33606-3475
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2761152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304873000
—
FL
01
—
Y004F
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/01/2006
Last updated
03/02/2021
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