Individual
JILL MARIE MARSHALL-ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN CWS
Contact information
Practice address
11806 BRUCE B DOWNS BLVD # 1272, TAMPA, FL 33612-5542
(813) 530-9666
(813) 729-8645
Mailing address
12250 BLUE PACIFIC DR, RIVERVIEW, FL 33579-1803
(850) 225-8811
(800) 351-2611
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
1692262
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
APRN1692262
FL
363L00000X
Nurse Practitioner
APRN1692262
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN1692262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9864
FL BCBS
FL
Enumeration date
06/09/2006
Last updated
11/17/2025
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