Active NPI
Jolene Gall, A.R.N.P.
- Family Nurse Practitioner
- Tampa, FL
National Provider Identifier
1912920596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2152432
- Practice address
- 3003 W. Dr. Martin Luther King Blvd.
Mab 3Rd Floor
Tampa, FL 33607 - Phone
- (813) 870-4438
- Fax
- (813) 870-4153
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2152432 | FL | Primary |
Addresses
Primary practice location
3003 W. Dr. Martin Luther King Blvd.
Mab 3Rd Floor
Tampa, FL 33607
Mailing address
3003 W. Dr. Martin Luther King Blvd.
Mab 3Rd Floor
Tampa, FL 33607
Phone (813) 870-4438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2152432 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912920596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 W. DR. MARTIN LUTHER KING BLVD.",
"address_2": "MAB 3RD FLOOR",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-870-4438",
"fax_number": "813-870-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 W. DR. MARTIN LUTHER KING BLVD.",
"address_2": "MAB 3RD FLOOR",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-870-4438",
"fax_number": "813-870-4153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALL",
"first_name": "JOLENE",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "2152432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.