INCHARGECLINIC NPI 1093448102

NPI Information

  • NPI: 1093448102
  • Provider Name: INCHARGECLINIC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • :
  • Address: 12250 BLUE PACIFIC DR
    RIVERVIEW, FL
    ZIP 33579
  • Phone: (813) 955-9734

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NPI Details

INCHARGECLINIC is an adult health nurse practitioner in Riverview, FL. INCHARGECLINIC NPI is 1093448102. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

12250 BLUE PACIFIC DR
RIVERVIEW, FL
ZIP 33579-803
Phone: (813) 955-9734
Fax: (813) 366-8789

The provider's authorized official is Jill Marshall-allen .
The authorized official title is Mmgr and has the following contact phone number (813) 530-9666.

The enumeration date for this NPI number is 7/6/2022 and was last updated on 2/27/2025.

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
1173000000XLegal MedicineNo
2174400000XSpecialistNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4363L00000XNurse PractitionerNo
5363LA2200XNurse PractitionerAdult HealthYes

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: 11/21/2025

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