Individual provider · Type 1 NPI
Jessica Ricaurte, NNP
Critical Care Neonatal Nurse Practitioner · Provo, UT
NPI number
1649815879
Active
Practice location
1034 N 500 W
Provo, UT 84604-3380
Mailing address
605 Idlewild Cir Apt 201
Birmingham, AL 35205-5822
Other practice locations
- 500 22nd St S, Birmingham, AL 35233-3110 · (205) 934-7310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 11540839-4405 (UT) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1649815879
Jessica Ricaurte, NNP's National Provider Identifier is 1649815879, issued on Nov 12, 2019. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Provo, UT. The record was last updated on Dec 3, 2019.