Individual provider · Type 1 NPI

Jill Massengale, A.R.N.P

Adult Health Nurse Practitioner · Tampa, FL

NPI number 1093814964 Active

Practice location

11663 Countryway Blvd
Tampa, FL 33626-2739

Fax (813) 891-6889

Mailing address

13000 Bruce B Downs Blvd, (117)
Tampa, FL 33612-4745

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XARNP9184657 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1093814964

Jill Massengale, A.R.N.P's National Provider Identifier is 1093814964, issued on Sep 21, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Tampa, FL. The record was last updated on May 26, 2009.