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JAN D. PHELPS PA NPI 1326237850


NPI Information

NPI: 1326237850
Provider Name: JAN D. PHELPS, PA

Doing Business As: ABBEY MEDICAL CLINIC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1442 W BUSCH BLVD
TAMPA, FL
ZIP 33612
Phone: (813) 931-9094
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JAN D. PHELPS, PA is a family nurse practitioner in Tampa, FL. JAN D. PHELPS, PA NPI is 1326237850. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Abbey Medical Clinic.

The provider's business location address is:

1442 W BUSCH BLVD
TAMPA, FL
ZIP 33612-602
Phone: (813) 931-9094
Fax: (813) 935-1126

The provider's authorized official is Jan Denice Phelps .
The authorized official title is Owner and has the following contact phone number (813) 931-9094.

The enumeration date for this NPI number is 10/22/2007 and was last updated on 5/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily1851392FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E7385YMEDICARE OSCAR/CERTIFICATIONFLORIDA
2K7167MEDICARE PINFLORIDA
3P62395OTHERFLORIDAUPIN
4Y031BOTHERFLORIDABCBS
5305568000MEDICAIDFLORIDA
61851392OTHERFLORIDALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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