Individual
JACLYNN THERESA WINDSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0007
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
11039694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128888000
—
FL
01
—
IBQ1M
BCBS
FL
Enumeration date
06/07/2025
Last updated
11/17/2025
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