Healthcare Provider Details

I. General information

NPI: 1336950856
Provider Name (Legal Business Name): KATHRYNE JAYNE NEILING DNP, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7551 FOREST OAKS BLVD
SPRING HILL FL
34606-2437
US

IV. Provider business mailing address

7551 FOREST OAKS BLVD
SPRING HILL FL
34606-2437
US

V. Phone/Fax

Practice location:
  • Phone: 352-518-2000
  • Fax:
Mailing address:
  • Phone: 352-518-2000
  • Fax: 352-567-0218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9385738
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11040881
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: