MS. JESSICA NICOLE COLLERA MSN APRN AGPCNP NPI 1720699671

NPI Information

NPI: 1720699671
Provider Name: MS. JESSICA NICOLE COLLERA, MSN, APRN, AGPCNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
12902 USF MAGNOLIA DR
TAMPA, FL
ZIP 33612
Phone: (813) 990-9858
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MS. Jessica Nicole Collera, MSN, APRN, AGPCNP is an adult health nurse practitioner in Tampa, FL with 3 years of experience. MS. Jessica Nicole Collera, MSN, APRN, AGPCNP NPI is 1720699671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12902 USF MAGNOLIA DR
TAMPA, FL
ZIP 33612-416
Phone: (813) 990-9858

The NPI 1720699671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2020 and was last updated on 6/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	APRN11008595	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11008595	OTHER	FLORIDA	APRN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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