Individual provider · Type 1 NPI

Jackson E. Tillquist, ARNP

Nurse Practitioner · Safety Harbor, FL

NPI number 1720442940 Active

Practice location

1840 Mease Dr, Suite 200
Safety Harbor, FL 34695-6602

Call (727) 724-8611 Map

Fax (727) 724-0425

Mailing address

PO Box 10744
Clearwater, FL 33757-8744

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X9258226 (FL)
Nurse Practitioner Primary 363L00000XARNP9258226 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720442940

Jackson E. Tillquist, ARNP's National Provider Identifier is 1720442940, issued on Apr 13, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Safety Harbor, FL. The record was last updated on Oct 14, 2016.