Jacqueline Brandt
Nurse Practitioner - Critical Care Medicine
1 Tampa General Cir
Tampa
, Florida 33606-3571
Jacqueline Brandt
Nurse Practitioner - Critical Care Medicine
1 Tampa General Cir
Tampa
, Florida 33606-3571
(847) 542-6582
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Jacqueline Brandt
- 16714 Trite Bend St
- Wimauma, FL
- Zip : 33598-4162
- Phone : (847) 542-6582
Second Address
- Jacqueline Brandt
- 1 Tampa General Cir
- Tampa, FL
- Zip : 33606-3571
- Phone : (813) 844-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN11017680 | FL |
National Provider Identifier
| NPI | 1578222832 |
|---|---|
| Provider Name | Jacqueline Brandt |
| First Address | Wimauma, FL 33598-4162 |
| Second Address | Tampa, FL 33606-3571 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2021 |
| Last Update Date | 28/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.