MS. JANE PHELAN (NPI# 1053563361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053563361 |
| Entity Type | Individual |
| Full Name | MS. JANE PHELAN |
| Credential | APRN |
| Practice Address |
2578 66th Ter S St Petersburg FL 33712-5608 |
| Practice Telephone | 8036163112 |
| Mailing Telephone | 8036163112 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2018-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9486153 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
4266 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
03793 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
F401380 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2578 66TH TER S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-5608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730436973 | Frank J Rodell Arnp Pa | Nurse Practitioner | 1049 Bella Vista Dr Ne, St Petersburg, FL 33702-1452 | 2012-08-07 |
| 1851460513 | Teresa Lyn Cope | Nurse Practitioner | 132 9th Ave N, St Petersburg, FL 33701-1814 | 2006-11-07 |
| 1487642963 | Reba E Shoenfelt | Nurse Practitioner | 7945 1st Ave S, St Petersburg, FL 33707-1019 | 2005-10-10 |
| 1033736418 | Connection Behavioral Health | Nurse Practitioner | 9800 4th St N Ste 200, St Petersburg, FL 33702-2462 | 2020-07-01 |
| 1558827014 | Chiara Williams | Nurse Practitioner | 4010 Central Ave, St Petersburg, FL 33711-1239 | 2019-02-20 |
| 1972091221 | Anton M Dragonetti | Nurse Practitioner | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2018-04-23 |
| 1124484720 | Pedrita Rosenblatt Arnp LLC | Nurse Practitioner | 2021 66th Ave S, St Petersburg, FL 33712-5852 | 2016-01-12 |
| 1518367903 | Mary Patricia Rosario | Nurse Practitioner | 502 Pasadena Ave S, St Petersburg, FL 33707-2126 | 2014-09-04 |
| 1447659149 | Teresa L Cope Pllc | Nurse Practitioner | 132 9th Ave N, St Petersburg, FL 33701-1814 | 2014-08-19 |
| 1578827416 | Emily Diane Reynolds | Nurse Practitioner | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2012-06-26 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
Please comment or provide details below to improve the information on MS. JANE PHELAN.
| 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.