Individual
MRS. JILL LOUISE VAN SCHAICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12902 MAGNOLIA DRIVE, TAMPA, FL 33612
(888) 860-2778
(813) 745-4226
Mailing address
12902 MAGNOLIA DRIVE, TAMPA, FL 33612
(888) 860-2778
(813) 745-4226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9215820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306666500
—
FL
01
—
Y064Q
BLUE CROSS BLE SHIELD
FL
Enumeration date
07/10/2006
Last updated
01/22/2009
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