Organization Active NPI

Grow Well Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Seminole, FL
National Provider Identifier
1003771684
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GROW WELL PSYCHIATRY
Practice address
7795 117TH St
Seminole, FL 33772-5223
Phone
(727) 418-2120
Fax
(352) 820-4133
NPI assigned
Dec 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jill Moran, APRNNPI 1144810235
Title
Pmhnp
Phone
(727) 418-2120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7795 117TH St
Seminole, FL 33772-5223

Mailing address

7795 117TH St
Seminole, FL 33772-5223
Phone (727) 418-2120

Other practice location 1

7795 117th St
Seminole, FL 33772
Phone (727) 418-2120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1003771684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7795 117TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725223",
            "telephone_number": "727-418-2120",
            "fax_number": "352-820-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7795 117TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725223",
            "telephone_number": "727-418-2120",
            "fax_number": "352-820-4133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7795 117th St",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "33772",
            "country_code": "US",
            "telephone_number": "727-418-2120",
            "fax_number": "352-820-4133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROW WELL PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "727-418-2120",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.