Provider Demographics
NPI:1508328915
Name:READER, JESSICA M (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:M
Last Name:READER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 SOFT PINE CT
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-6167
Mailing Address - Country:US
Mailing Address - Phone:386-871-4852
Mailing Address - Fax:
Practice Address - Street 1:1055 N DIXIE FWY STE 1
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-6200
Practice Address - Country:US
Practice Address - Phone:386-423-0505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9227310163W00000X
FL99999999363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse