Individual provider · Type 1 NPI

Jillian Rae Foertsch

Nurse Practitioner · Tampa, FL

NPI number 1821814146 Active

Practice location

1 Tampa General Cir
Tampa, FL 33606-3571

Call (813) 844-0000 Map

Mailing address

10213 Cool Waterlily Ave
Riverview, FL 33578-4380

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200XRN9522965 (FL)
Critical Care Medicine (Anesthesiology) Physician 207LC0200X11037463 (FL)
Nurse Practitioner Primary 363L00000X11037463 (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 1821814146

Jillian Rae Foertsch's National Provider Identifier is 1821814146, issued on Dec 2, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tampa, FL. The record was last updated on Feb 19, 2025.