Provider Demographics
NPI:1407204886
Name:MISKELL, JAMIE (APRN)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:MISKELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:TOBELMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7901 4TH ST N STE 300
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-4399
Mailing Address - Country:US
Mailing Address - Phone:843-474-5578
Mailing Address - Fax:843-790-1871
Practice Address - Street 1:7901 4TH ST N STE 300
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4399
Practice Address - Country:US
Practice Address - Phone:843-474-5578
Practice Address - Fax:843-790-1871
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251488363LP0808X
OR202108853NP-NP363LP0808X
GARN277007363LP0808X
COC-APN.0002997-C-NP363LP0808X
VA0024173666363LP0808X
NYF402880-01363LP0808X
CA95013857363LP0808X
FLAPRN110011353363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health