JACLYN S BELLASSAI


Address: 5357 Ehrlich Rd, Tampa, FL 33625
Phone: 8663892727

JACLYN S BELLASSAI (NPI# 1871076992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871076992
Entity Type Individual
Full Name JACLYN S BELLASSAI
Credential APRN
Practice Address 5357 Ehrlich Rd
Tampa
FL 33625
Mailing Address 5357 Ehrlich Rd
Tampa
FL 33625-5505
Practice Telephone 8663892727
Enumeration Date 2018-09-13
Last Update Date 2019-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN9311008 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP93110008 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1929 Bruce B Downs Blvd, Wesley Chapel, FL 335449202 8139911293
6600 30th Ave N, St Petersburg, FL 337103102 7273814463

Office Location

Street Address 5357 EHRLICH RD
City TAMPA
State FL
Zip Code 33625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700870144 Ginger Robin Kopenski Nurse Practitioner 5357 Ehrlich Rd, Tampa, FL 33625-5505 2005-08-31
1912554098 Erika Camille Agema Aaron Pharmacist 5357 Ehrlich Rd, Tampa, FL 33625-5505 2019-08-22
1558793778 Anthony Harris Sanchez Pharmacist 5357 Ehrlich Rd, Tampa, FL 33625-5505 2013-07-30
1770836843 Pamela Witek Nurse Practitioner 5357 Ehrlich Rd, Tampa, FL 33625-5505 2012-10-25
1598942237 Amy Andersen Nurse Practitioner 5357 Ehrlich Rd, Tampa, FL 33625-5505 2008-01-24
1255512570 Jennifer Ginex Nurse Practitioner 5357 Ehrlich Rd, Tampa, FL 33625-5505 2007-11-15
1316041239 Holiday Cvs LLC Pharmacy 5357 Ehrlich Rd, Tampa, FL 33625-5505 2006-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790316222 Kyle Raymond Schindler Physical Therapist 12891 Citrus Park Dr, Tampa, FL 33625 2020-02-03
1558923771 Rose Alexis Nurse Practitioner 5357 Enrlich Road, Tampa, FL 33625 2019-07-08
1831655380 Tampa Family Health Centers, Inc Clinic/Center 12085 W. Hillsborough Ave., Tampa, FL 33625 2019-02-20
1083067664 Adventist Health System/sunbelt, Inc. Clinic/Center 6930 Gunn Hwy, Tampa, FL 33625 2016-07-19
1285012773 Be Bellus Med Spa Clinic/Center 6914 W Linebaugh Ave, Suite 102, Tampa, FL 33625 2015-05-15
1649519877 Brenda Lee Figueroa Nurse Practitioner 6702 West Linebaugh Ave., Tampa, FL 33625 2013-02-07
1639424930 Sheriece Sadberry Psychologist 6922 W Linebaugh Ave Ste 101c, Tampa, FL 33625 2012-07-23
1619244191 Mariana Velandia Counselor 12819 Pacifica Pl, Tampa, FL 33625 2011-11-28
1245507003 Oleston Chiropractic, P.a. Chiropractor 6575 Gunn Hwy, Tampa, FL 33625 2011-11-22
1891074027 Christine M Klocek Behavioral Analyst 6543 Gunn Highway, Tampa, FL 33625 2011-08-05
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1538773791 Cindy Irene Gearheart Nurse Practitioner 7712 W Powhatan Ave, Tampa, FL 33615-4133 2020-09-04
1447864921 Kimberly Marie Hymiller Nurse Practitioner 4600 N Habana Ave Ste 13, Tampa, FL 33614-7123 2020-09-02
1508479841 Andrea Mole Nurse Practitioner 5035 E Busch Blvd Ste 1a&1b, Tampa, FL 33617-5310 2020-08-26
1467065896 Cho Yee Mon Maung Nurse Practitioner 2606 W Waters Ave, Tampa, FL 33614-1835 2020-08-25
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Competitor

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City TAMPA
Zip Code 33625

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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