Organization · Type 2 NPI

Inchargeclinic

Adult Health Nurse Practitioner · Santa Rosa Beach, FL

NPI number 1093448102 Active

Practice location

189 Exuma Way, #413
Santa Rosa Beach, FL 32459

Call (813) 548-6773 Map

Fax (813) 730-5230

Mailing address

11806 Bruce B Downs Blvd # 1272, Mail Only Inchargeclinic
Tampa, FL 33612-5542

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Registered Nurse	163WA0400X	None listed
Specialist	174400000X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed
Nurse Practitioner	363L00000X	None listed
Adult Health Nurse Practitioner Primary	363LA2200X	None listed

Adult Health Nurse Practitioner: Definition to come...

NPI record

NPI: 1093448102
Entity type: Organization (Type 2)
Issued: Jul 6, 2022
Last updated: Aug 26, 2026
Status: Active

Other names

<unavail>
Jill Marie Marshall-Allen · former legal business name
Jill Marie Marshall-Allen · other name

Authorized official

Jill Marie Marshall-Allen, APRN CARN-AP CWS
Owner Individual Provider
(813) 955-9734

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093448102

Inchargeclinic's National Provider Identifier is 1093448102, issued on Jul 6, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Santa Rosa Beach, FL. The record was last updated on Aug 26, 2026.