JENNIFER COLLAZO
NPI 1164136255
Nurse Practitioner - Family in Tampa, FL

Active since January 12, 2023
13128 N DALE MABRY HWY, TAMPA, FL 33618(813) 582-5673 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Collazo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER COLLAZO (NPI 1164136255) is an individual family provider in Tampa, Florida, licensed in Florida (11023520) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1164136255
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER COLLAZO
Location Address13128 N DALE MABRY HWYTampa, FL 33618-2406
Mailing Address5486 Shasta Daisy PlLand O Lakes, FL 34639-2821 · (813) 325-2335
Sole ProprietorYes
Enumeration DateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
NPI 1164136255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 11023520
13128 N DALE MABRY HWY, Tampa, FL 33618

Other Names 1

Former Name (1)Jennifer Taylor

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
13128 N DALE MABRY HWY
TAMPA, FL 33618

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Collazo's NPI number?

The NPI number for Jennifer Collazo is 1164136255. It was assigned to this individual provider in the NPPES registry on January 12, 2023. The provider is also known as Jennifer Taylor.

Where is Jennifer Collazo located?

Jennifer Collazo practices at 13128 N Dale Mabry Hwy, Tampa, FL 33618. The listed phone number is (813) 582-5673.

What is Jennifer Collazo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Collazo was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.