Mr. Jackson E. Tillquist is a Safety Harbor, Florida based nurse practitioner with 9 years of experience in . He completed his graduation in 2016. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jackson E. Tillquist is ARNP9258226 in Florida. His current practice location is 1840 Mease Dr, Suite 200, Safety Harbor. Patients can reach him at 727-724-8611 or can fax him at 727-724-0425. Mr. Jackson E. Tillquist is ARNP and his NPI number (Unique professional ID assigned by NPPES) is 1720442940. Mr. Jackson E. Tillquist has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Jackson E. Tillquist speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Jackson E. Tillquist
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
ARNP
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2016
Accepts Medicare Assignment:
Yes
Practice Address:
1840 Mease Dr, Suite 200, Safety Harbor, Florida, 34695-6602
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4183912934
Enrollment ID:
I20161011000384
NPI Number:
1720442940
NPI Enumeration Date:
13 Apr, 2016
NPI Last Update On:
14 Oct, 2016
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jackson E. Tillquist are as mentioned below.
License Number
Specialization
State
Status
ARNP9258226
Florida
Primary
9258226
Registered Nurse
Florida
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(100127)
Clearwater, FL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Jackson E. Tillquist is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Baycare Medical Group, Inc. (6406753623)
713
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jackson E. Tillquist such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
018482900
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Jackson E. Tillquist Po Box 10744, Clearwater, Florida
Zip:
33757-8744
Phone Number:
727-532-0002
Fax Number:
727-266-4943
Patients can reach Mr. Jackson E. Tillquist at 1840 Mease Dr, Suite 200, Safety Harbor, Florida or can call to book an appointment on 727-724-8611.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.