Marshall-Allen, Jill Marie
Marshall-Allen, Jill Marie is an individual health care provider with primary practice located at 701 N Wilder Rd , Plant City FL 33566-7547. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Marshall-Allen, Jill Marie can be contacted via phone (731) 394-1145.Contact Information
Primary practice address
701 N Wilder Rd
Plant City FL 33566-7547
Phone: (731) 394-1145
Fax: (800) 351-2611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Wound Care | 163WW0000X | 1692262 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1692262 | Florida |
Profile Details
| NPI number | 1205877560 |
|---|---|
| LBN Legal business name | Marshall-Allen, Jill Marie |
| Credentials | APRN CWS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | May 22nd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205877560 | NPPES |
| Florida | Other | Y9864 | FL BCBS |
| Florida | MEDICAID | 0009891000 | FL BCBS |
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