MS. JANE PHELAN APRN NPI 1053563361

NPI Information

NPI: 1053563361
Provider Name: MS. JANE PHELAN, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2578 66TH TER S
ST PETERSBURG, FL
ZIP 33712
Phone: (803) 616-3112
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MS. Jane Phelan, APRN is a psychiatric/mental health nurse practitioner in St Petersburg, FL. MS. Jane Phelan, APRN NPI is 1053563361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2578 66TH TER S
ST PETERSBURG, FL
ZIP 33712-608
Phone: (803) 616-3112

The NPI 1053563361 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2008 and was last updated on 11/11/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	03793	CONNECTICUT	No
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	4266	SOUTH CAROLINA	No
3	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	F401380	NEW YORK	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	9486153	FLORIDA	Yes

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

NPI Synchronization or Removal

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