| Jannelle Mendiola Bautista, MSN, APRN, FNP-C | |
|
515 S Kings Ave Ste 3100, Brandon, FL 33511-5921 | |
| (813) 681-9171 | |
| (877) 409-2423 |
| Full Name | Jannelle Mendiola Bautista |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 515 S Kings Ave Ste 3100, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033927157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11034875 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11034875 (Florida) | Primary |
| Entity Name | Womens Care Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078 |
| Entity Name | Womens' Health Hospitalists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205295599 PECOS PAC ID: 1850674870 Enrollment ID: O20170216001354 |
| Entity Name | Ivx Health Of Florida Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821622432 PECOS PAC ID: 8426470626 Enrollment ID: O20200616003261 |
| Mailing Address | Practice Location Address |
|---|---|
| Jannelle Mendiola Bautista, MSN, APRN, FNP-C Po Box 748817, Atlanta, GA 30374-8817 Ph: (813) 286-0033 | Jannelle Mendiola Bautista, MSN, APRN, FNP-C 515 S Kings Ave Ste 3100, Brandon, FL 33511-5921 Ph: (813) 681-9171 |
Mindy Connors, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Eichenfeld Dr, Brandon, FL 33511 Phone: 813-684-6000 | |
Dr. Shawn Blouin, DNP, ARNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 | |
Mrs. Kimberly Mcfarling Davis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1771 S Kings Ave, Brandon, FL 33511 Phone: 813-345-4044 | |
Derek Hoffert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 | |
Herbert Wilson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1307 Providence Rd, Brandon, FL 33511 Phone: 813-655-4646 Fax: 813-655-4113 | |
Maylin Barrios, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 604 Medical Care Dr, Brandon, FL 33511 Phone: 813-448-2081 | |
Mrs. Linda Jean Hubsmith, ARNP(F-PC FMHNP) Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1119 Nikki View Dr, Brandon, FL 33511 Phone: 813-947-3050 Fax: 813-436-0809 |