Female

Ms. Jerrica Farias

Primary Care Nurse Practitioner in Tampa, FL(View on Map)

Full Name

Ms. Jerrica Farias

NPI Number

1740674480

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/19/2015

Specialties

(Taxonomies)

Code

363LP2300X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

9351801

Contact
Information

Purpose

Mailing
Location

Address

7544 TRANSOM CT
13330 USF LAUREL DR

City

Tampa
Tampa

State

FL
FL

Postal Code

33607-5863
33612-6601

Country

US
US

Telephone Number

N/A
(813) 974-9273

Identifiers

Identifier

015089000
Y0S4Z

Identifier State

FL
FL

Identifier Issuer

Unknown
BLUE CROSS BLUE SHIELD

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

jfarias99537@direct.tgh.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

13330 Usf Laurel DrTampa, FL336126601US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/07/2021

Provider Address

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