Organization
INCHARGECLINIC
Active
Organization
INCHARGECLINIC
Active
Other names
JILL MARIE MARSHALL-ALLEN, Jill Marie Marshall-Allen
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MARIE MARSHALL-ALLEN APRN CARN-AP CWS (OWNER INDIVIDUAL PROVIDER)
(813) 955-9734
Entity
Organization
Contact information
Practice address
189 EXUMA WAY, #413, SANTA ROSA BEACH, FL 32459
(813) 548-6773
(813) 730-5230
Mailing address
11806 BRUCE B DOWNS BLVD # 1272, MAIL ONLY INCHARGECLINIC, TAMPA, FL 33612-5542
(813) 548-6773
(813) 730-5230
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
173000000X
Legal Medicine
—
—
174400000X
Specialist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
08/26/2026
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