Marshall-Allen, Jill Marie

Marshall-Allen, Jill Marie is an individual health care provider with primary practice located at 701 N Wilder Rd , Plant City FL 33566-7547. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Marshall-Allen, Jill Marie can be contacted via phone (731) 394-1145.

Contact Information

Primary practice address
701 N Wilder Rd Plant City FL 33566-7547
Phone: (731) 394-1145
Fax: (800) 351-2611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X 1692262 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1692262 Florida

Profile Details

NPI number 1205877560
LBN Legal business name Marshall-Allen, Jill Marie
Credentials APRN CWS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205877560 NPPES
Florida Other Y9864 FL BCBS
Florida MEDICAID 0009891000 FL BCBS

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