National Provider Identifier Database

WOUND AND MEDICAL OUTREACH CLINIC LLC
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

WOUND AND MEDICAL OUTREACH CLINIC LLC
12250 BLUE PACIFIC DR
RIVERVIEW, FL33579-1803
Phone: 813-777-1591
Fax: 800-351-2611
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Physical Therapist 225100000X
Wound Care 163WW0000X

* Indicates primary specialty

NPI Profile & details for WOUND AND MEDICAL OUTREACH CLINIC LLC

NPI Number 1881229532
Legal business name
LBN
WOUND AND MEDICAL OUTREACH CLINIC LLC
Authorized official JILL MARSHALL ALLEN - (MGMR)
Entity Organization
Organization subpart No
Enumeration date 03/03/2020
Last updated 11/27/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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