Individual provider · Type 1 NPI

Jesus Antatico Macrohon

Nurse Practitioner · St. Petersburg, FL

NPI number 1770189656 Active

Practice location

1839 Central Ave
St. Petersburg, FL 33713-8900

Call (727) 322-1054 Map

Fax (727) 322-2725

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11006709 (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 1770189656

Jesus Antatico Macrohon's National Provider Identifier is 1770189656, issued on Dec 7, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Petersburg, FL. The record was last updated on May 28, 2026.