IndividualActive
Jill Massengale, A.R.N.P
NPI 1093814964 · Adult Health Nurse Practitioner · Tampa, FL
Provider details
- NPI number
- 1093814964
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- A.R.N.P
- Sex
- Female
- Sole proprietor
- No
- License
- ARNP9184657 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11663 Countryway Blvd
Tampa, FL 33626-2739
Phone: (813) 891-6310
Fax: (813) 891-6889
Street-level locationGet directions
Mailing address
13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2009-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.