Inchargeclinic

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

INCHARGECLINIC

Practice address

189 Exuma Way
#413
Santa Rosa Beach, FL 32459

Phone

(813) 548-6773

Fax

(813) 730-5230

NPI assigned

Jul 6, 2022

Organization subpart

No

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

Authorized official

Name

Jill Marie Marshall-Allen, APRN CARN-AP CWSNPI 1205877560

Title

Owner Individual Provider

Phone

(813) 955-9734

Specialties & licenses 5

Addresses

Other names 1

• JILL MARIE MARSHALL-ALLEN Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Jill Marie Marshall-Allen, APRN CWS

  • Adult Health Nurse Practitioner
  • Tampa, FL
  • NPI 1205877560
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1093448102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11806 BRUCE B DOWNS BLVD # 1272",
            "address_2": "MAIL ONLY INCHARGECLINIC",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125542",
            "telephone_number": "813-548-6773",
            "fax_number": "813-730-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 EXUMA WAY",
            "address_2": "#413",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "813-548-6773",
            "fax_number": "813-730-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCHARGECLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "MARSHALL-ALLEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER INDIVIDUAL PROVIDER",
        "authorized_official_telephone_number": "813-955-9734",
        "authorized_official_credential": "APRN CARN-AP CWS"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jill Marie Marshall-Allen",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "JILL MARIE MARSHALL-ALLEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katie Huckaby
• Carolyn Elizabeth Hulse, LMHC
• Dara Lynn Humphries, DNP, ARPN, FNP-BC
• Robert L Ignasiak Jr., MD
• Imaging Institute LLC
• Baylee Jaynes
• Elizabeth Holland Jenkins
• John Boden MD LLC
• Ariel Johnson
• Erin D Johnson, NP-C

• Adult Health Nurse Practitioner in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.