| Jill Nelson, RN | |
| 
					110 Bullard Pkwy, Temple Terrace, FL 33617-5510  | |
| (813) 988-5214 | |
| Not Available | 
| Full Name | Jill Nelson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 110 Bullard Pkwy, Temple Terrace, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083394100 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WH0200X | Registered Nurse - Home Health | RN9431472 (Florida) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN11029653 (Florida) | Primary | 
| Entity Name | Minuteclinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20070217000007  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jill Nelson, RN 110 Bullard Pkwy, Temple Terrace, FL 33617-5510 Ph: (866) 389-2727  | Jill Nelson, RN 110 Bullard Pkwy, Temple Terrace, FL 33617-5510 Ph: (813) 988-5214  | 
Ofelia Maria Chou, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637 Phone: 813-871-8183 Fax: 813-871-8184  | |
Viviane L Goncalves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 303-261-7664  | |
Ms. Tracy L Czop, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-779-6303 Fax: 888-977-1998  | |
Ashley Nichole Christie, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 Fax: 843-790-1953  | |
Shawna Lord, MS, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030  | |
Mischa Nicole Tice, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 228-363-4729  | |
Amanda Parker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5205 E Fletcher Ave, Temple Terrace, FL 33617 Phone: 813-987-2911 Fax: 813-987-2853  |