Healthcare Provider Details

I. General information

NPI: 1750764809
Provider Name (Legal Business Name): JENNIFER K WHEELER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2015
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5707 N 22ND ST
TAMPA FL
33610-4350
US

IV. Provider business mailing address

5707 N 22ND ST
TAMPA FL
33610-4350
US

V. Phone/Fax

Practice location:
  • Phone: 813-272-2244
  • Fax: 813-272-3766
Mailing address:
  • Phone: 813-272-2244
  • Fax: 813-272-3766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9287706
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number12.010830
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024193423
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberC-RXN.0002321-C-NP
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9287706
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberC-APN.0004191-C-NP
License Number StateCO
# 7
Primary TaxonomyN
Taxonomy Code364SP0812X
TaxonomyCommunity Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAPRN9287706
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: