WOUND AND MEDICAL OUTREACH CLINIC LLC
NPI 1881229532
Nurse Practitioner in Riverview, FL

Q: What is Wound And Medical Outreach Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 03, 2020

12250 BLUE PACIFIC DR, RIVERVIEW, FL 33579(813) 777-1591(800) 351-2611 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2020, Mar 4, 2020 (2 updates tracked since 2020).

On this page

About Wound And Medical Outreach Clinic Llc NPPES

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

WOUND AND MEDICAL OUTREACH CLINIC LLC (NPI 1881229532) is a healthcare organization registered as a nurse practitioner in Riverview, Florida and active in the NPI registry since March 2020. The organization lists Jill M Marshall Allen, Mgmr, as its authorized official.

NPPES Registry Identity

NPI1881229532

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameWOUND AND MEDICAL OUTREACH CLINIC LLC

Location Address12250 BLUE PACIFIC DRRiverview, FL 33579-1803

Mailing Address12250 Blue Pacific DrRiverview, FL 33579-1803 · Fax (800) 351-2611

Phone(813) 777-1591

Fax(800) 351-2611

Organization SubpartNo

Authorized OfficialJill M Marshall AllenMgmr · (813) 777-1591

Enumeration DateMarch 3, 2020

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedAugust 6, 2020

✔ NPI 1881229532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPhysical TherapistTaxonomy 225100000X

12250 BLUE PACIFIC DR, Riverview, FL 33579

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Wound And Medical Outreach Clinic LLC's NPI number?

The NPI number for Wound And Medical Outreach Clinic LLC is 1881229532. It was assigned to this organization in the NPPES registry on March 3, 2020.

Where is Wound And Medical Outreach Clinic LLC located?

Wound And Medical Outreach Clinic LLC is located at 12250 Blue Pacific Dr, Riverview, FL 33579. The listed phone number is (813) 777-1591.

What is Wound And Medical Outreach Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Wound And Medical Outreach Clinic LLC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.