Mrs. Jessica Anne Raines
Nurse Practitioner - Pediatrics
1702 S Jefferson St
Perry
, Florida 32348-5611
Mrs. Jessica Anne Raines
Nurse Practitioner - Pediatrics
1702 S Jefferson St
Perry
, Florida 32348-5611
(850) 253-2280
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Jessica Anne Raines
- 194 Ne Hancock Ave
- Madison, FL
- Zip : 32340-2546
- Fax : (850) 253-2280
- Phone : (850) 253-2275
Second Address
- Mrs. Jessica Anne Raines
- 1702 S Jefferson St
- Perry, FL
- Zip : 32348-5611
- Fax : (850) 838-2140
- Phone : (855) 577-5437
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP9215145 | FL |
National Provider Identifier
| NPI | 1043624000 |
|---|---|
| Provider Name | Mrs. Jessica Anne Raines |
| First Address | Madison, FL 32340-2546 |
| Second Address | Perry, FL 32348-5611 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2014 |
| Last Update Date | 15/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.